"I really appreciate being able to come here and meet people like me. I live in rural area so online support is fantastic."

Feedback

It is important to the continued development and funding of this site that we evaluate the service. If you are happy to complete a short evaluation, there is a questionnaire here that will be sent to us. You can complete this even if you have just visited the site and want to tell us what you thought. This is very important and useful to us.

If you do use the on-line counselling service, it would be great if you could fill out the questionnaire when we end our contact with you. This is completely voluntary and is not a compulsory part of involvement with the service.

Evaluation Form

1. What age group are you in?

Under 15 yrs 15-21yrs 22-27 yr s 28-35 yrs over 35

2. Where do you live?

Country area City area

Australia, or other country? (Please put what country and State you are from, eg Victoria, Australia)

3. How long have you had diabetes?

Under 1 yr 1 - 5 yrs 5- 10 yrs 10- 20 yrs Over 20 yrs

4. Are you:

Type 1 Type 2 Other
(If Other, please give details such as family member, etc... )

5. Was your contact with diabetes counselling related to any of the following
(Please tick as many as are relevant)

Anxiety
Diet/food
Eating disorder
Complications of diabetes
Family relationships
Relationships with partner/s
Parenting/Pregnancy
Depression
Medical care
Advocacy
Legal issues
Feeling alone/isolated
Fear of hyposisolated
None
Other

Any others - (please write down what the problem/s were)

6. How did you find out about this service?

7. What part of the site did you use - please tick as many as are relevant

Visited only
Used resources/links page
Used discussion board
Used e-mail counselling service
Chat Room
Other - Please give details below

8. Did you find this website helpful?

Yes No Not sure

9. Would you recommend this service to others?

Yes No Not sure

10. Do you have any other comments?

11. Name:

12. Email Address: