Type 1 Diabetes Mellitus Study for Post-menopausal Women

Do you understand that this questionnaire is a screening tool for participation in a research study and that by completing this question you have consented to be screened? Completing the screening questionnaire does not guarantee that you will participate in the research.

Do you understand that this questionnaire is a screening tool for participation in a research study and that by completing this question you have consented to be screened? Completing the screening questionnaire does not guarantee that you will participate in the research.

I agree to be screened
I decline to be screened. (Do not continue to answer questions)

Gender

Female
Male

How old are you?

Are you post-menopausal?

Yes
No

How many years have you been post-menopausal?

Was menopause due to a hysterectomy?

Yes
No

If menopause was due to a hysterectomy, did you have your ovaries removed?

One ovary
Both ovaries