Language Resources Submission Form



If you would like to be listed as a resource to help people find a contact person who is able to speak their language, please fill out the information below and I'll add you to the Language Resources Page. By filling out this form, your e-mail address will be available on the website so people can contact you directly. The information you provide will give people an idea of the language and diabetes skills you have and an idea of the types of topics you are comfortable discussing.

After you hit the 'send info' button, you will automatically be taken back to the home page.

If you omit required information (marked with *) or if your e-mail is not valid, an error message will pop up and you won't be able to send the information until valid information is entered.

Your Name: *
Your E-Mail:*
Country:*
Region:
First Language:

Other Languages Reading/Writing Ability Speaking Ability

General Diabetes Knowledge: Excellent Very good Good Fair
Diabetes Experience: 0-1 years 1-2 years 2+ years
Experience With:
check all that apply 		Human Cat Dog Guinea Pig
Willing to Discuss:
check all that apply 		Emotional Support Care Techniques Education
Comments:
Are you familiar with other diseases?
Do you return e-mails promptly? etc.
 

home  education  resources  techniques  site info  contents

A big "Thank You" to Jeff, a fellow animal lover, who created the form templates for me.
Updated August 2001
Copyright. All rights reserved.
 This site is for information purposes only.  Please consult your veterinarian.