You must enable cookies for this web site to function properly.
1. Personal Information
|
2. Tell us about your story. If you have accompanying pictures, please email the files to eyehealth@diabetes.org or provide us with the URL.
|
Latest User Responses: |
||
|---|---|---|
|
User Provided No Response
|
|
|
|
Just a test submission for the Become a Champion (FoD) form on d.org. Disregard.
|
|
|
|
test
|
|
|
|
T1D for 15 years.
|
|
|
|
User Provided No Response
|
|
|
View All Responses for question #2
3. What social media platform do you use?
|
Latest User Responses: |
||
|---|---|---|
|
User Provided No Response
|
|
|
|
test
|
|
|
|
Twitter
|
|
|
|
Linkedin, FB, Instagram
|
|
|
|
User Provided No Response
|
|
|
View All Responses for question #3
4. What is your social media handle?
|
Latest User Responses: |
||
|---|---|---|
|
User Provided No Response
|
|
|
|
test
|
|
|
|
@michaeldonohoe
|
|
|
|
a.sick.kiss
|
|
|
|
User Provided No Response
|
|
|
View All Responses for question #4
5. As a resident of countries affected by GDPR, we are required to request your consent and acknowledgement that you authorize us to store your data by checking this box.
|
|