Skip to content
Prediabetes Questionnaire
*
1.
Are you 18 years of age or older?
(Required.)
Yes
No
*
2.
Are you pregnant or expecting to be pregnant?
(Required.)
Yes
No
3.
Is your A1C level between 5.7 and 6.4?
Yes
No
Not sure
What is an A1C level?
*
4.
Have you ever been diagnosed with either Type 1 or Type 2 Diabetes?
(Required.)
Yes
No