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Your contact information
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Your diabetes information

Where did you get your OneTouch® Meter? *  

Did you use a coupon? * 

Have you purchased test strips for your new OneTouch® Meter? *  

What methods do you use to manage your diabetes? *  

How many shots of insulin do you take per day?  * 

Please answer the above question

How often, if ever, do you make adjustments to the amount of insulin you take? * 

Please answer the above question
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