Survey Form Step 1 of 3 33% * 1. Demographic DetailsName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email Phone2. Date of birth (dd/mm/yyyy) 3. Date of Diagnosis (dd/mm/yyyy) * 4. I am*A parent or carer of a child with type 1 diabetesSomeone with type 1 diabetesNeitherBehaviour: Below is a list of things people might do in order to avoid low blood glucose. Read each item carefully (do not skip any). Select one of the options that best describes what you do during the evening/night to avoid night-time hypos. * 5. Eat large snacks at beadtime*NeverRarelySometimesOftenVery Often* 6. Avoid leaving your child alone when their blood glucose is likely to be low*NeverRarelySometimesOftenVery Often* 7. Keep your child's blood glucose higher when they will be alone for a while.*NeverRarelySometimesOftenVery Often* 8. Give your child something to eat as soon as they show the first signs of low blood glucose*NeverRarelySometimesOftenVery Often* 9. Reduce your child's insulin dose when you think their glucose is too low.*NeverRarelySometimesOftenVery Often* 10. Keep your child's blood glucose higher when they are at a party or you may be occupied for a long period of time.*NeverRarelySometimesOftenVery Often* 11. Make sure you and/or your child carry fast-acting glucose.*NeverRarelySometimesOftenVery Often* 12. Avoid allowing your child to play/exercise when you think their blood glucose is low.*NeverRarelySometimesOftenVery Often13. Check you child's blood glucose often when they plan to be at a party or you know you may be occupied for a long period of time.*NeverRarelySometimesOftenVery OftenThe information collected in this survey will used in in accordance with our privacy statement, which can be found here: Privacy Statement 14. Not recognising/realising your child is having a night-time hypo.*NeverRarelySometimesOftenVery Often* 15. Not having food, fruit, or juice available at night.*NeverRarelySometimesOftenVery Often* 16. Your child having a hypo while asleep*NeverRarelySometimesOftenVery Often* 17. Your child having a night-time hypo while alone*NeverRarelySometimesOftenVery Often* 18. No one being around to help your child if they have a night-time hypo*NeverRarelySometimesOftenVery Often* 19. Your child having seizures or convulsions as a result of a night-time hypo*NeverRarelySometimesOftenVery Often* 20. Your child having difficulties at school after a night-time hypo*NeverRarelySometimesOftenVery Often* 21. Your child developing long-term complications from frequent night-time hypos*NeverRarelySometimesOftenVery Often Δ