Comprehensive Diabetes Risk Assessment Tool



Code

What is your gender?

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?

Where were you born?

Do you usually do at least 30 min of physical activity/exercise per day?

How often do you eat vegetables and/or fruit?

Do you currently smoke cigarettes or any other tobacco products on a daily basis?

Have you ever taken medication for high blood pressure on regular basis?

Have you ever been found to have high blood glucose/sugar (e.g. in a health examination, during an illness, during pregnancy)?

Have any members of your immediate family / relatives been diagnosed with diabetes?