Dear Mr.

Hamdiye Arda Surucu

My name is Yayang Savita. I’m a collage student of diabetes educator in academy nursing of
Politeknik Kementerian Kesehatan Palangka Raya. I’m from Indonesia. I’m interested in
your article “The Impacts of Diabetes Education on Self Care Agency, Self-Care Activities
and HbA1c Levels of Patients with Type 2 Diabetes: A Randomized Controlled Study”
I want to do a research related to your described in that article so I want to get your
permissions for using same instrument for my research.

If you don’t mind could you please send me self-care agency scale and diabetes self-care
activities questionnaire.

Thank you very much for your kindness.

Your sincerely,

Yayang Savita

Academy of Nursing

DIV Keperawatan, Politeknik Kesehatan Kementerian Kesehatan Palangkaraya

Kalimantan Tengah, Indonesia

get your permissions for giving me Self-care agency scale and Diabetes Self-Care Activities
Questionnaire,
written approval was taken from the authors whodid
the validity and reliability study in Turkey
following the institute permissions, from the
university ethic board (28.07.2010, no:2010/08-29).
Informed consent was taken from the cases. After
the post tests at October 2012, control group was
also educated.