Comprehensive Diabetes Risk Assessment Tool Code What is your gender? Male Female What is your age? (years) What is your weight? (kg) What is your height? (cm) What is your waist size? (cm) The correct place to measure your waist is halfway between your lowest rib and the top of your hipbone, roughly in line with your navel. Measure directly against your skin, breathe out normally, make sure the tape is snug, without compressing the skin. What is your ethnicity? Aboriginal, Torres Strait Islander, Pacific Islander or Maori descent White European Others Where were you born? Asia (including the Indian sub-continent), Middle East, North Africa, Southern Europe Other Do you usually do at least 30 min of physical activity/exercise per day? Yes No How often do you eat vegetables and/or fruit? Every day Not every day Do you currently smoke cigarettes or any other tobacco products on a daily basis? Yes No Have you ever taken medication for high blood pressure on regular basis? Yes No Have you ever been found to have high blood glucose/sugar (e.g. in a health examination, during an illness, during pregnancy)? Yes No Have any members of your immediate family / relatives been diagnosed with diabetes? No YES (parent, brother, sister or own child) YES (grandparent, uncle, aunt or first cousin) Calculate