Create an Account – Penpals United

Name (required)

This field may be seen by: Everyone

Who is allowed to see this field?

Everyone Only Me All Members My Friends

Gender

MaleFemale

Clear

This field may be seen by: Everyone

Who is allowed to see this field?

Everyone Only Me All Members My Friends

Language

Please choose as many as is applicable

This field may be seen by: Everyone

Who is allowed to see this field?

Everyone Only Me All Members My Friends

Country

This field may be seen by: Everyone

Who is allowed to see this field?

Everyone Only Me All Members My Friends

Preferred Region (required)

This region will be used to match you with other users.

This field may be seen by: Everyone

Who is allowed to see this field?

Everyone Only Me All Members My Friends

Diagnosis Date

Day Month Year

This field may be seen by: Everyone

Who is allowed to see this field?

Everyone Only Me All Members My Friends

Interests

This field may be seen by: Everyone

Who is allowed to see this field?

Everyone Only Me All Members My Friends

Occupation/Industry

This field may be seen by: Everyone

Who is allowed to see this field?

Everyone Only Me All Members My Friends

Do you have type 1 or type 2 diabetes?

Type 1Type 2

Clear

This field may be seen by: Everyone

Who is allowed to see this field?

Everyone Only Me All Members My Friends

What was most recent hemoglobin a1c result?

This field may be seen by: Only Me

How do you feel about yourself with diabetes?

DefectiveDisabledNormalEmpowered

Clear

This field may be seen by: Everyone

Who is allowed to see this field?

Everyone Only Me All Members My Friends

Do you think that diabetes will affect your ability to do well in school?

YesNo

Clear

This field may be seen by: Everyone

Who is allowed to see this field?

Everyone Only Me All Members My Friends

Do you think that diabetes will affect your ability to do well in work?

YesNo

Clear

This field may be seen by: Everyone

Who is allowed to see this field?

Everyone Only Me All Members My Friends

Do you feel comfortable talking about diabetes with other people?

YesNo

Clear

This field may be seen by: Everyone

Who is allowed to see this field?

Everyone Only Me All Members My Friends

Pot Of Honey

This field may be seen by: Everyone

Who is allowed to see this field?

Everyone Only Me All Members My Friends

Disclaimer (required)

Do you agree to our terms and conditions? 1. Terms and Conditions (including disclaimer) 2. Privacy Policy (including cookie policy)

Yes

This field may be seen by: Only Me

Who is allowed to see this field?

Everyone Only Me All Members My Friends

Account Details

Profile Details