Answer these seven simple questions. For each “Yes” answer, add the number of points listed. All “No” answers are 0 points. If you score 9 or more, you qualify for the Diabetes Prevention Program Pilot. It would be best to attend an info session if you are able to get more details and to have your questions answered. We can also add you to the list of interested participants at the info session.
| Question | Yes | No |
|---|---|---|
| 1. Are you a woman who has had a baby weighing more than 9 pounds at birth? | 1 | 0 |
| 2. Do you have a sister or brother with diabetes? | 1 | 0 |
| 3. Do you have a parent with diabetes? | 1 | 0 |
| 4. Find your height on the chart below. Do you weigh as much as or more than the weight listed for your height? | 5 | 0 |
| 5. Are you younger than 65 years of age and get little or no exercise in a typical day? | 5 | 0 |
| 6. Are you between 45 and 64 years of age? | 5 | 0 |
| 7. Are you 65 years of age or older? | 9 | 0 |
| Height | Weight |
|---|---|
| 4'10" | 129 |
| 4'11" | 133 |
| 5' | 138 |
| 5'1" | 143 |
| 5'2" | 147 |
| 5'3" | 152 |
| 5'4" | 157 |
| 5'5" | 162 |
| 5'6" | 167 |
| 5'7" | 172 |
| 5'8" | 177 |
| 5'9" | 182 |
| 5'10" | 188 |
| 5'11" | 193 |
| 6' | 199 |
| 6'1" | 204 |
| 6'2" | 210 |
| 6'3" | 216 |
| 6'4" | 221 |