1. Your Information (please provide your home address, not work address):
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2. Do you have a connection with diabetes?
Total Number of Responses 141 |
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3. Are you a health care professional?
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4. If you answered "other health care professional," what type of health care professional are you?
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n/a
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Genetic counselor
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User Provided No Response
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Pharma
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User Provided No Response
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View All Responses for question #4
5. Have you scheduled a meeting with your legislators?
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6. If yes to the above question, tell us who the appointment is with and the time and room of the appointment.
Latest User Responses: |
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User Provided No Response
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survey/responses/101/3268101.txt
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survey/responses/029/3256029.txt
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survey/responses/139/3274139.txt
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survey/responses/604/3263604.txt
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survey/responses/555/3267555.txt
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survey/responses/373/3256373.txt
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survey/responses/137/3260137.txt
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survey/responses/844/3263844.txt
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View All Responses for question #6
7. Are you on a first-name basis with any Arizona legislators? If yes, please tell us who and what your connection is.
Latest User Responses: |
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User Provided No Response
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survey/responses/965/3265965.txt
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survey/responses/475/3257475.txt
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survey/responses/599/3259599.txt
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survey/responses/665/3255665.txt
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survey/responses/359/3256359.txt
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survey/responses/734/3262734.txt
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survey/responses/205/3256205.txt
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survey/responses/202/3256202.txt
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survey/responses/312/3256312.txt
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survey/responses/556/3267556.txt
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survey/responses/522/3257522.txt
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survey/responses/870/3265870.txt
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survey/responses/302/3261302.txt
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survey/responses/364/3270364.txt
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survey/responses/889/5116889.txt
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survey/responses/030/3256030.txt
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survey/responses/845/3263845.txt
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survey/responses/605/3263605.txt
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survey/responses/391/3274391.txt
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survey/responses/666/3261666.txt
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survey/responses/735/3266735.txt
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survey/responses/138/3260138.txt
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survey/responses/367/3270367.txt
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survey/responses/925/3255925.txt
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survey/responses/751/3264751.txt
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survey/responses/810/3258810.txt
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survey/responses/140/3274140.txt
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survey/responses/463/3270463.txt
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survey/responses/418/3271418.txt
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survey/responses/781/3255781.txt
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survey/responses/374/3256374.txt
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survey/responses/970/3262970.txt
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survey/responses/855/3273855.txt
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survey/responses/862/3273862.txt
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survey/responses/617/3275617.txt
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View All Responses for question #7
8. What is your t-shirt size?
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9. Do you require any special accommodations?
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10. If you answered "Yes" above, please describe the accommodation(s) needed.
Latest User Responses: |
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User Provided No Response
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survey/responses/923/3275923.txt
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survey/responses/183/3256183.txt
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survey/responses/926/3255926.txt
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survey/responses/557/3267557.txt
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survey/responses/548/3262548.txt
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survey/responses/924/3263924.txt
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survey/responses/093/3266093.txt
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survey/responses/890/5116890.txt
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survey/responses/031/3256031.txt
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View All Responses for question #10
11. If you are bringing another family member, please put their name here:
Latest User Responses: |
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N/A
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Son, Quinlan age 6
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User Provided No Response
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User Provided No Response
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User Provided No Response
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