Dimensions

Items

General diet

How many of the last seven days have you followed a healthful eating plan?

On average, over the past month, how many days per week have you followed your eating plan?

Exercise

On how many of the last seven days did you participate in at least 30 minutes of physical activity? (Total minutes of continuous activity, including walking)?

On how many of the last seven days did you participate in a specific exercise session (such as swimming, walking, biking) other than what you do around the house or as part of your work?

Blood sugar testing

On how many of the last seven days did you test your blood sugar?

On how many of the last seven days did you test your blood sugar the number of times recommended by your health-care provider?

Foot-care

On how many of the last seven days did you check your feet?

On how many of the last seven days did you inspect the inside of your shoes?