S.T.E.P.
Program
PATIENT
Post-Questionnaire
1.
Before starting the S.T.E.P. how may steps a day were you doing _________
2.
While in the Study, what happened to your daily blood sugar
levels?
_____Improved
_____Remained the Same _____Worsened
3.
If your daily blood sugar levels improved when did you start
seeing results?
____0-2
weeks ____2-4
weeks _____4-6weeks ____6-8 weeks ____9+
weeks
4.
Did you find the Program useful in helping you take control of
your diabetes?
_____Yes
_____No
5.
Have you monitored more often due to being in the S.T.E.P.
Program?
_____Yes
_____No
6.
Will you continue to use your pedometer?
_____Yes
_____No
7.
Do you feel any different then before starting the S.T.E.P.
Program?
Explain:
