Diabetes survey-调查问卷模板-问卷网

What is your age?

Under 18

18-30

31-50

Over 50

What is your gender？

Male

Female

Other

How often do you eat sugary things？

Always! Its delicious!

Once a month

Once a week

Never

How much？

I could eat a whole bag!

Maybe 2 pieces

1 piece

Didnt I say I dont eat candy?

Do you exercise?

Yes! Basically every day!

Yeah

Occasionally

Exercising is for geeks

What's your diet like?

A lot of carbohydrates and fat!

McDonalds! KFC! Burger King! Pizza hut!

Balanced carb, vitamins, protein, fiber...

I dont know. I already ate it!

What is your BMI? Note: You can calculate it with calculators on the web

18-24 Underweight

25-29 Normal

30-39 Overweight

40 Very overweight

How would you rate your health?

Im very healthy

Im average

Im unhealthy

I cant tell

Do you have diabetes?

Yes

No

Whats diabetes?

I dont know

Diabetes survey