YOUR SCOREPOINTS
1 How old are you?
 Less than 40 years ...........................0
 40–49 years ......................................1
 50–59 years ......................................2
 60 years or older ..............................3
2. Are you a man or a woman?
 Man ...................................................1
 Woman ..............................................0
3. If you are a woman, have you ever been diagnosed with gestational diabetes?
 Yes ....................................................1
 No .....................................................0
4. Do you have a mother, father, sister, or brother with diabetes?
 Yes ....................................................1
 No .....................................................0
5. Have you ever been diagnosed with high blood pressure?
 Yes ....................................................1
 No .....................................................0
6. Are you physically active?
 Yes ....................................................1
 No .....................................................0
7. What is your weight status?
 (see chart at right)
 ADD UP YOUR SCORE