SEARCH Diabetes Related Family Conflict Survey

SEARCH for Diabetes in Youth Study

4b12_family conflict

SEARCH Diabetes Related Family Conflict Survey

OMB: 0920-0904

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Almost Never
Argue

Sometimes
Argue

Almost Always
Argue

16. Telling relatives about diabetes

1

2

3

17. Rotating injection sites or infusion sets (pump)

1

2

3

18. Changes in health (like weight or infections)

1

2

3

19. Logging blood sugar results

1

2

3

20. Exercising

1

2

3

FOR STUDY USE ONLY
Date
Completed

Completed by
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Day

Year

Month

Day

Year

Reviewer Code

Date Reviewed
Date Entered

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SEARCH 3 Cohort Study - Diabetes Related Family Conflict Survey - Parent Version 11-01-10

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File Typeapplication/pdf
File TitleMicrosoft Word - Diabetes Related Family Conflict Survey - Parent _2_ CP 10-22-10 11-01-10 FINAL FINAL
Authorstmoxley
File Modified2011-05-10
File Created2010-11-04

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