Artist Questionnaire 2021

Thanks for submitting your information for the 2020 Myabetic Diabetes Art Show!

Name: This field is required

Name to share publicly (If different from #1) This field is required

How do you pronounce your name? This field is required

Social Media @handle This field is required

Artist Website (if applicable) This field is required

Where are you from/living? (City, State, Country) This field is required

Diabetes Diagnosis Date (Year only) This field is required

Title of Art Piece #1 This field is required

Medium of Art Piece #1 This field is required

Statement: Art Piece #1 (50 words or less) What does this piece represent? Why did you make this piece? This field is required

Title of Art Piece #2 This field is required

Medium of Art Piece #2 This field is required

Statement: Art Piece #2 (50 words or less) What does this piece represent? Why did you make this piece? This field is required

Pick ONE of the following questions to answer in 50 words or less: Why do you create diabetes art? How does creating art make you feel? What inspires you as an artist? What makes you unique as an artist? This field is required

Are you interested in being interviewed by Diabetes Daily? This field is required

Are you interested in being interviewed in a diabetes podcast? This field is required