Diabetes | Diet Clinic | Health Tips

TEACURRY

AGE

Under 45 years

45 – 54 years

55-64 years

Over 64 years

ACTIVITY LEVEL (aerobic exercise, at least 30 minutes per session)

5 or more times/week

2-4 times/week

0-1 times/week

Have you ever been found to have high blood glucose?

Yes

No

STRESS LEVEL (personal perception)

I don’t feel stress

I feel stressed 1-2 times per week

I feel stressed most days

I feel stress everyday

SMOKING

Never smoked or nonsmoker for 5 or more years

Smoker for less than 10 years

Smoker for 10 - 20 years

Smoker for more than 20 years

Thank you for taking our survey.

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