Are You At Risk of Prediabetes?

Claiborne County Family Health Center is offering FREE wellness classes that can help prevent type 2 diabetes and other chronic diseases. Simply answer the questions below and add up your points to find out your score. If you score 5 or more, submit your responses with your contact info and we will contact you about our FREE classes!
How old are you?

Less than 40 years (0 points) 40-49 years (1 point) 50-59 years (2 points) 60 years or older (3 points)
Are you a man or a woman?

Man (1 point) Woman (0 points)
Do you have a family history of diabetes?

Yes (1 point) No (0 points)
Have you ever been diagnosed with high blood pressure?

Yes (1 point) No (0 points)
Are you physically active?

Yes (0 points) No (1 point)
Do you consider yourself to be overweight?

No (0 points) Somewhat (1 point) Moderately (2 points) Very (3 points)
Your Score!!!
If you scored 5 or higher:

You're likely to have prediabetes and are at high risk of developing type 2 diabetes. However, only your doctor can tell for you sure if you have type 2 diabetes or prediabetes (a condition that preceded type 2 diabetes in which blood glucose levels are higher than normal). Talk to your doctor to see if additional testing is needed.

If you would like to be contacted about one of our no-cost prediabetes classes, please enter your contact information below before you click submit.
Name

First Name Last Name
Phone Number

Area Code Phone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
This program is being offered to help prevent diabetes in our community. Please select an option below to help determine eligibility.

I am diabetic I am prediabetic I am neither diabetic nor prediabetic I do not know my status
Should be Empty:

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