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Diabetes Action Plan Survey, Hmong

Kev Ntsuam Xyuas Txoj Phiaj Xwm Saib Xyuas Mob Ntshav Qab Zib

Koj qhov kev koom tes, siv koj lub sibhawm 15 feeb no, yuav pab Wisconsin Department of Health Services (Lub Tsev Hauj Lwm Saib Xyuas Cov Kev Pab Cuam Kev Noj Qab Haus Huv) (DHS) npaj txoj phiaj xwm Diabetes Action Plan (Phiaj Xwm Saib Xyuas Mob Ntshav Qab Zib). Qhov kev ntsuam xyuas no yog ib txoj hauv kev rau koj qhia rau peb paub seb koj xav pom dab tsi suav nrog hauv txoj phiaj xwm thiab qhia peb tias cov neeg nyob nrog los sis saib xyuas cov neeg mob ntshav qab zib hauv Wisconsin muaj teeb meem dab tsi. Peb kuj tseem xav hnov txog cov kev cov nyom rau koj lub zej zog, txoj kev noj qab nyob zoo tag nrho, thiab cov peev txheej dab tsi uas koj zej zog xav tau los daws cov kev cov nyom ntawd. Kev ntsuam xyuas no yuav tag Lub Tsib Hlis Ntuj Tim 1, 2025, thaum 5 teev yuav tsaus ntuj (May 1, 2025, at 5pm).

Tsis tas li ntawd, raws li DHS cov lus taw qhia, tsis txhob muab personally-identifiable information (PII) (tej ntaub ntawv uas tuaj yeem txheeb qhia txog tus kheej) uas tsis tseem ceeb twg los sis protected health information (PHI) (cov ntaub ntawv qhia paub txog kev noj qab haus huv uas muaj kev pov thaiv) twg tso rau hauv koj cov lus teb.

Yog tias koj muaj lus nug dab tsi hais txog kev ntsuam xyuas no, thov xa email mus rau Lub Khoos Kas Kev Chronic Disease Prevention (Tiv Thaiv Kab Mob Kho Zoo Tsis Tu Qab) ntawm dhschronicdiseaseprevention@dhs.wisconsin.gov. Peb ua tsaug rau koj lub sij hawm thiab cov tswv yim.
1. Dab tsi hauv qab no piav qhia koj lub luag hauj lwm thaum hais txog tus kab mob ntshav qab zib? Kos rau txhua yam uas siv tau. *This question is required.
  • * This question is required.
2. Tam sim no koj nyob rau hauv cheeb tsam nroog los sis pawg haiv neeg tsawg twg? *This question is required.
Koj lub koom haum muab kev pab cuam rau hauv cov cheeb tsam nroog los sis pawg neeg tsawg twg? Kos rau txhua yam uas siv tau. *This question is required.
3. Koj xav paub ntxiv txog cov cheeb tsam twg hauv qab no? Kos rau txhua yam uas siv tau. *This question is required.
  • * This question is required.