DAGC.ORG - Diabetes Risk Assessment

Diabetes Risk Assessment

Could you have diabetes and not know it?
1 in 13 people in Northeast Ohio has diabetes and 33% don't know they have it. Take this assessment to see if you are at risk for having diabetes.

1. Please enter your height:
    feet inches Please enter your weight:
Pounds

2. I am under 65 years of age and I get little or no exercise during a usual day:
    Yes No

3. I am 45 - 65 years of age:
    Yes No

4. I am 65 years old or older:
    Yes No

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

6. I have a sister or brother with diabetes:
    Yes No

7. I have a parent with diabetes:
    Yes No

8. Are you African American, Latino/Hispanic, Native American, Asian American or Pacific Islander?
    Yes No

Contact the Diabetes Association of Greater Cleveland at:

Phone: Fax: E-Mail:

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Diabetes Association of Greater Cleveland