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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