1. What is your age group?
a. under 35 0 points
b. 35-44 2 points
c. 45-54 4 points
d. 55-64 6 points
e. 65 and over 8 points
2. What is your gender?
a. Male 2 points
b. Female 0 points
3. What is your ethnicity and country of birth?
1. Are you of Aboriginal, Torres Strait Islander, Pacific Islander or Maori Descent?
a. No 0 points
b. Yes 2 points
11. Where were you born?
a. Australia 0 points
b. Asia, Middle East, North Africa,Southern Europe
2 points
c. Other 0 points
4. Has either of your parents or brothers and sisters been diagnosed with Diabetes?
a. No 0 points
b. Yes 2 points
5. Have you ever been found to have high blood glucose (sugar) eg in a health examination, illness , in pregnancy
a. No 0 points
b. Yes 2 points
6. Are you currently taking medication for high blood pressure?
a. No 0 points
b. Yes 2 points
7. Do you currently smoke cigarettes or any other tobacco products on a daily basis?
a. No 0 points
. Yes 2 points
8. How often do you eat fresh fruit and vegetables?
a. Every day 0 points
b. Not every day 2 points
9. On average do you do at least 2.5 hours of physical activity per week ( ie at least 30 minutes on at least 5 days per week)
a. Yes 0 points
b. No 2 points
10. What is your waist measurement?
1. Asian, Aboriginal, Torres Strait Islander descent
Men
a. Less than 90cm 0 points
b. 90-100cm 4 points
c. more than 100cm 7 points
Women
a. less than 80 cm 0 points
b. 80 – 90 cm 4 points
c. more than 90cm 7 points
11. All others
Men
a. less than 102 cm 0 points
b. 102-110 cm 4 points
c. more than 110 cm 7 points
Women
a. less than 88 cm 0 points
b. 88-100cm 4 points
c. more than 100 cm 7 points
YOUR RISK OF DEVELOPING DIABETES IN NEXT 5 YEARS
0-5 : Low Risk
one in 100 will develop type 2 diabetes in next 5 years
6-11: Intermediate Risk
for score of 6-8 one in 50 will develop type 2 diabetes in next 5 years
for score 9-11 one in 30 will develop Type 2 Diabetes in next 5 years
12 or more: High Risk
for score 12-15 one in 14 will develop diabetes in next 5 years
for score 16-19 one in 7 will develop type 2 Diabetes in next 5 years
for score 20 or above one in three will develop type 2 diabetes in next 5 years