Prediabetes Risk Test

Please answer the following questions. This will help us determine if you are at risk for prediabetes and if you may be eligible for our Diabetes Prevention Program.

Please keep track of your score and add up the points as you go along.
A score of 5 or higher indicates that you may be at risk of developing type 2 diabetes.

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* 1. How old are you?

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* 2. Are you a man or a woman?

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* 3. If you are a woman, have you ever been diagnosed with gestational diabetes?

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* 4. Do you have a mother, father, sister, or brother with diabetes?

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* 5. Have you ever been diagnosed with high blood pressure?

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* 6. Are you physically active?

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* 7. Using the chart below, please select which column your weight category falls.

Weight Category Chart

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* 8. What is your height? (example: 5 feet, 9 inches)

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* 9. What is your weight (in pounds)?

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* 10. If you scored a 5 or higher, are you interested in learning more about our Diabetes Prevention Program?

 
 33% of survey complete.

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