Diabetes is a growing concern worldwide, with type 2 diabetes being the most common form of the disease. Understanding your personal risk factors can empower you to make informed decisions about your health and potentially prevent the onset of type 2 diabetes. This quick and easy survey is designed to help you evaluate your risk by considering key factors such as age, family history, lifestyle, and more.

By taking just a few minutes to complete this survey, you can gain valuable insights into your current health status and identify areas where you might need to make changes. Whether you’re concerned about your health or simply curious, this assessment will provide you with a personalized risk score, helping you take proactive steps toward maintaining a healthy lifestyle.

Please remember that this survey is not a diagnostic tool but rather a preliminary assessment. For a comprehensive evaluation of your risk and personalized advice, it is always best to consult with a healthcare provider. Your health is important, and early awareness can be the key to preventing future complications.

Instructions:

Please answer the following questions honestly. Each question helps evaluate your risk of developing type 2 diabetes. At the end of the survey, you will receive a risk score and a brief evaluation of your risk level.

1. Age Group:
   • 18-24 years (0 points)
   • 25-34 years (1 point)
   • 35-44 years (2 points)
   • 45-54 years (3 points)
   • 55-64 years (4 points)
   • 65 years or older (5 points)
2. Gender:
   • Male (1 point)
   • Female (0 points)
3. Family History of Diabetes:
   • No (0 points)
   • Yes, one parent or sibling (2 points)
   • Yes, both parents or multiple siblings (4 points)
4. Body Mass Index (BMI):
   • Less than 25 (0 points)
   • 25-29.9 (2 points)
   • 30-34.9 (4 points)
   • 35 or more (6 points)
5. Physical Activity:
   • Regularly active (at least 150 minutes per week) (0 points)
   • Occasionally active (less than 150 minutes per week) (1 point)
   • Rarely or never active (2 points)
6. Diet:
   • Mostly healthy (low in processed foods, rich in vegetables and whole grains) (0 points)
   • Mixed (some healthy and some unhealthy foods) (1 point)
   • Mostly unhealthy (high in processed foods, low in fruits and vegetables) (2 points)
7. Blood Pressure:
   • Normal (less than 120/80 mmHg) (0 points)
   • Elevated (120/80 to 139/89 mmHg) (1 point)
   • High (140/90 mmHg or higher) (2 points)
8. History of Gestational Diabetes (for women):
   • No (0 points)
   • Yes (2 points)
   • Not applicable (0 points)
9. Smoking Status:
   • Never smoked (0 points)
   • Former smoker (1 point)
   • Current smoker (2 points)
10. Waist Circumference:
    • Less than 35 inches (women) or 40 inches (men) (0 points)
    • 35-39 inches (women) or 40-44 inches (men) (1 point)
    • 40 inches or more (women) or 45 inches or more (men) (2 points)

Scoring and Risk Evaluation

• 0-5 points: Low Risk
  • Your risk of developing type 2 diabetes is low. Continue to maintain a healthy lifestyle to keep your risk low.
• 6-10 points: Moderate Risk
  • You have a moderate risk of developing type 2 diabetes. Consider lifestyle changes such as increasing physical activity and improving your diet to reduce your risk.
• 11-15 points: High Risk
  • You have a high risk of developing type 2 diabetes. It is recommended that you consult with a healthcare provider to discuss preventive measures and possibly undergo further testing.
• 16 points or more: Very High Risk
  • Your risk of developing type 2 diabetes is very high. Immediate action is recommended, including consulting a healthcare provider for advice on managing and reducing your risk.

This survey is a basic risk assessment and should not replace professional medical advice. If you are concerned about your risk, please consult a healthcare provider.