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Record of Grantee Meetings


Assessment Materials, Forms & Instruments


Diabetes Patient Survey (PDF)

This two-page assessment tool is designed to provide self management program staff  with information about  which program activities patients participate in and find most helpful for making lifestyle changes. It also asks patients about whom they feel is important for providing self management support.

Author site: St. Peter Family Medicine Residency I 2003

Related Links

  • For other tools related to general program administration: Click here
  • For more assessment tools: Go back

The Diabetes Initiative was a national program of the Robert Wood Johnson Foundation from 2002 to 2009.
Archived in 2009, this site is a repository for information and resources gathered over the course of the Initiative.