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Stanford Patient Education Research Center

Stanford University School of Medicine

SAMPLE QUESTIONNAIRE

DIABETES

You may use all or parts of the questionnaire at no charge without permission

Stanford Patient Education Research Center

1000 Welch Road, Suite 204

Palo Alto CA 94304

(650) 723-7935 voice • (650) 725-9422 fax

http://patienteducation.stanford.edu

[email protected]

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