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Do You Currently Have Diabetes?

Do You Have A Family History Of Diabetes?

Have You Ever Been Told By A Doctor That You Are In The Pre-Diabetic Range?

Have You Ever Suffered From Any Of The Following Conditions?

Please Select What Is Applicable

Do You Smoke?

Do You Do Any Physical Activity? (Atleast 2.5 Hours Per Week)

With Regards To Diet, Do You Eat Fruit And Vegetables On A Daily Basis?

Please Specify Your Preferred Method Of Communication.