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Join the Medtronic Champion community

Why should you join the #MedtronicChampion U.S. community?

Joining the community can include, but isn’t limited to:

  • Direct contact with Medtronic Diabetes, making sure your voice is heard! This may include providing survey feedback to help influence future products and programs.
  • Branded Champion items to help express yourself.
  • Recognition of milestones, including your dia-versary!
  • Opportunity to participate in new social media campaigns.
  • Potential to be featured in marketing or customer story highlights.

We can’t wait to have you as part of our Champion Community!


Application questions

0% complete

Contact Information

Are you a US resident?

Please select your gender:

What is your ethnic origin?

Are you a healthcare provider?


16% complete

Please indicate your level of physical activity.

Which of the following best describes you?

If you indicated that you’re a care partner for someone with type 1 or type 2 diabetes, please indicate who you care for below.

If you indicated you’re a care partner, please indicate the gender of the person you care for:

34% complete

Please briefly describe your history with diabetes in the space below.

Please indicate how you currently manage your diabetes:

How long have you been using the product you checked above?

If you’re using Medtronic products, how long have you been a Medtronic customer?

47% complete

Have you ever used an insulin pump other than one from Medtronic?

If you indicated you’ve used other pumps, in what year (approximately) did you switch from the other manufacturer’s pump to a pump from Medtronic?

Have you ever used a CGM other than one from Medtronic?

If you’ve indicated you’ve used other CGMs, what year (approximately) did you switch from the other manufacturer’s CGM to a CGM from Medtronic?

As part of the Medtronic Champion community, what areas would you be most interested in getting involved with? Check all that apply.

Do you use diabetes therapy management software like the Medtronic CareLink™ software?

66% complete

How much do you enjoy connecting with others who have diabetes?

How often do you post/share on the following social media channels?

Personal Blog

Diabetes forums

Other diabetes blogs

Twitter

Facebook

YouTube

TikTok

Instagram

Other

Please share links to your social media channels. Note this is required to review your application.

Personal Blog URL
Twitter
Facebook
YouTube
TikTok
Instagram
Other

Approximately how many people living with diabetes do you directly communicate with ONLINE on a weekly basis?

Approximately how many people living with diabetes do you communicate with OFFLINE (in-person) on a weekly basis?

Briefly tell us, in the space below, how you’re involved with your local diabetes community. (Examples: support groups, attending organization events, etc.)

How comfortable are you with someone reaching out to you via email about diabetes and/or the insulin pump and/or CGM?

84% complete

Please share any thoughts regarding your personal relationship with/connection to Medtronic in the space below.

What motivates you to help others living with diabetes?

Why do you choose to use Medtronic products?

Please tell us why you would like to be a part of the Medtronic Champion community.

What activities/goals would you hope to accomplish as part of the program?

Are you comfortable being a volunteer for Medtronic?

By checking this box, I authorize Medtronic MiniMed, Inc. (“Medtronic Diabetes”) to access and use my/my dependent’s, as applicable, protected health information or personally identifiable information, solely for the purpose of confirming my status as a Medtronic Diabetes customer/my use of Medtronic Diabetes products in connection with my application to the Medtronic Champion.  This authorization will expire: (a) at the conclusion of the purpose above or (b) after the maximum amount of time permitted by applicable law, whichever occurs first. I understand this authorization is voluntary and that I may refuse to sign it.  My refusal to sign this authorization will not affect my ability to obtain Medtronic Diabetes products and services, other treatment, or receive payment of or my eligibility for benefits.
Your application to join the community has been submitted. Thank you for taking the time to complete the survey and get more involved. We will reach out soon with next steps.

In the meantime, if you have questions please feel free to email us medtronicchampion@medtronic.com