Activation survey - 2014 Q1

Thank you for choosing a Bayer blood glucose meter.

As we are committed to ensuring our customers are happy with their meters, we would appreciate it if you could spare 5-10 minutes of your time to answer a short survey about your new meter.

Please confirm your details

* First Name :
* Last Name :
* Email Address :

* Please can you confirm which meter you have received from Bayer ?

Contour XT

Contour Next USB

Never received one

* Have you started using your Bayer meter yet?

Yes

No

* How long after receiving the meter did you start to use it?

Straight away (within 2 weeks)

Within a month

Within 3 months

Longer than 3 months

* How often are you testing your blood glucose with your Bayer meter?

1-3 times per week

4-6 times per week

7-9 times per week

10-14 times per week

15-19 times per week

20-24 times per week

25-29 times per week

30+ times per week

* Do you use the Bayer meter as your main meter?

Yes

No

Maybe

* Do you intend to start using it as your main meter?

Yes

No

Maybe

* Why do you say that?

* Are you using any other meter at this time?

Yes

No

* Which other meter do you use?

* Can you state one reason why you would change the meter you are testing with?

* How likely are you to recommend Bayer Diabetes Care to a friend?

* Why haven't you started using your Bayer meter yet?

Don’t like it

Forgot about it

Will keep as spare

Waiting to check with GP/Diabetes Nurse/Consultant

Haven’t got new strips yet

Haven't got round to it yet

Still using up old test strips

Other

* You say you don't like the meter - can you say why?

* You say you haven't got your new test strips yet - why not?

Not been to GP to change prescription yet

Not able to get strips for new meter – pharmacy hasn’t got them

Not got round to it yet

Other

* Are you using any other meter at this time?

Yes

No

* Yes – If yes which other meter do you use?

* Can you please state one reason why you would change the meter you are testing with?

* Do you intend to start using the Bayer meter?

Yes, within a month

Yes, witin 1 - 2 months

No

I'm not sure

* You say you won't start using the meter for more than a month - why do you say that?

* You say you're not sure when you will start using the meter - why do you say that?

* You say you don't intend to start using the meter - why not?

* You say you started using the Bayer meter, but then stopped - why did you stop using it?

As this survey is designed to collect feedback from people who have received a Bayer meter, you are not required to answer any further questions. Thank you very much for your time.