Pre-Diabetic Assessment

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Questionnaire for assessing: Are You Pre-Diabetic or At Risk?

1. 

Does your waistline extend beyond your hips or are you overweight?

2. 

Do you become tired or light-headed or do you feel the need to eat again just two or three hours after your last meal?

3. 

Do you eat dried beans e.g. pinto, navy, black, etc. less than three times per week?

4. 

Do you exercise less than three times each week?

5. 

Do you eat fewer than five servings of fresh, raw vegetables and fruits per day?

6. 

Do you have high blood triglyceride levels or suffer from hypertension?

7. 

Do you eat two or more servings of bread, pasta, candy, colas, or fruit juice a day?


Please provide the contact, result will be send to your email also after submission.

Email Phone Number

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