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. 2018 Apr 18;14(1):47–51. doi: 10.17925/EE.2018.14.1.47

Table 1: Questionnaire for assessing simplicity of insulin delivery device.

Simplicity assessment questions
S No Question Options Score*
1 How many of doses of insulin have you missed in the last 5 days? None
1-3 doses
>3 doses
1
2
3
2 How easy is to inject your insulin? Easy
Intermediate
Hard
1
2
3
3 How easy is it to calibrate the dose of your insulin? Easy to learn
Acceptable
Hard
1
2
3
4 How easy is it to change needles (removing/connecting)? Easy
Acceptable
Hard
1
2
3
5 How easy is it to store your insulin? Easy
Acceptable
Hard
1

*Scoring as per response. Minimum score of 5, maximum score of 15. Lower score indicates simpler device and a higher score denotes a more complicated device.