ReCET

Thank you for your interest in the ReCET Study!

Please answer the following questions to see if you may qualify to participate in the study. Other requirements will apply.
If you qualify, a study team member will reach out for further instructions.

Are you 22 to 70 years old?

* must provide value

Have you been diagnosed with type 2 diabetes for at least 6 months?

* must provide value

Are your taking more than one blood sugar controlling medication (remember, there are a number of combination medications for diabetes that contain more than one type of medicine; consider all included medicines in your count)?

* must provide value

Are you using insulin?

* must provide value

Have you been diagnosed by a healthcare provider with an autoimmune disease? (Including celiac disease, scleroderma, etc.)

* must provide value

Have you been diagnosed with an inflammatory bowel disease such as IBS or Crohn's
Disease?

* must provide value

Have you had surgery on our stomach or small intestine such as Roux-en-Y gastric bypass, gastric band, or other similar procedures?

* must provide value

Do you use any implanted electronic devices (such as a pacemaker) that would not be able to be turned off during the procedure?

* must provide value

Have you been diagnosed with cancer in the last 5 years? (Excluding non-melanoma skin cancers)

* must provide value

How did you hear about us?

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You're almost finished!
(Please complete the following)

First Name

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Last Name

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Year of Birth

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Zip/Post Code

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Best time to call:

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I agree to the terms of the Privacy Policy and acknowledge that I will receive communications via phone, email or text regarding my health and health risks.

* must provide value

Yes

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To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.