Contact Diabetes Risk Assessment

2. Please select your height.
      4 5 6 7 feet 0 1 2 3 4 5 6 7 8 9 10 11 inches

3. Please enter your weight in pounds.
      lbs.

4. I am a woman who has had a baby weighing more than nine pounds at birth.
     Yes No

5. I have a sister or brother with diabetes.
     Yes No

6. I have a parent with diabetes.
     Yes No

7. I am under 65 years of age and I get little or no exercise.
     Yes No

top  | close window