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Type 2 Diabetes Risk Assessment Tool

1. How old are you?
2. Gender?
3. Have you ever been told you had diabetes, gestational diabetes, or a problem with high blood sugar?
4. Has anyone in your immediate family (mother, father, sister, or brother) had or currently have diabetes?
5. Do you consider yourself to be of Hispanic/Latino, African American, Native American, Asian, or Pacific Islander descent?
6. Do you smoke or use other tobacco products?
7. Have you been diagnosed with high blood pressure?
8. Do you walk or do moderate activity for at least 30 minutes daily, or for a minimum of 3 hours a week?
9. Determine your height and weight range using the chart below. Based on your height and weight by the results on the bottom of the chart, how many points do you receive?