| Survey Questions: |
| 1. Are you more than 10% above ideal body weight? |
| 2. Is your waist above 35" (women) or 40" (men)? |
| 3. Do you have any biologic family member with a history of DM? |
| 4. Are you African American, Alaskan Native, American Indian, Hispanic, or Arabic descent? |
| 5. Do you have a history or take medication for HBP? |
| 6. Do you have, or take medications for, high cholesterol or abnormal good/bad cholesterol ratio? |
| 7. Do you seem to be slow to heal from a cut or a bruise? |
| 8. Do you experience tingling, pain or numbness in your hands or feet? |
| 9. Do you experience unexplainable hunger, thirst OR frequent urination? |
| 10. Have you experienced blurred vision, cataracts or glaucoma? |
| 11. Have you had skin infections, foot ulcers, velvety skin or neck folds? |
| 12. Do your gums bleed when you brush or floss? |
| 13. Women: Did you ever have gestational diabetes during pregnancy? |
| 14. Women: Do you experience recurring yeast infections? |