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. 2016 Apr 5;40(2):129–139. doi: 10.4093/dmj.2016.40.2.129

Table 3. Questionnaire on compliance for the treatment.

1. Do you visit the hospital on the scheduled day?
 ① Always ② Usually ③ Sometimes ④ No
2. How many times do you check your blood glucose in a week?
 ______ times/week
3. Do you take the medicine according to treatment guidance?
 ① Always ② Usually ③ Sometimes ④ No