How many hours of

sleep do you get per

night
1-2 hrs
3-4 hrs
5-6 hrs
8
7-8 hrs
4
8+ hrs
1

Are you aware of any family

members with type 2
diabetes
Mother
Father
Brother
Sister
Aunt
Uncle
Grandmother
3
Grandfather
2
Great Grandfather
1
Other
None
9

What do you eat for

breakfast
Oatmeal
Cereal
Eggs
Pancakes
Oranges
Apples
Pear
Pastries
Other

What do you eat for

breakfast
1
5
8
2
1
2
3

What fast foods do you

eat?
Pizza
11
Burgers
10
Hotdogs
10
French Fries
12
Fried Chicken
9
None

What vegetables do
you eat?
Broccoli
5
Spinach
1
Cabbage
9
Lettuce
12
Tomatoes
7
Beet
1
None

Recreation
>1 hour
1-2 hours
3-4 hours
5-6 hours
7-8 hours
9-10 hours
10+ hours

Activities
1
3
8
2

Football
Track
Baseball
Swimming
Table Tennis
Cricket
Netball
Dancing
Volleyball
Other
None

1
3

2
9
2

Snacks
Protein Bars
Donuts
Chocolate
Sandwiches
Small Salads
Peanut Butter
White Bread
Raisins
Peanuts
Cookies
Sweet Corn
Skim Cheese
Yogurt
None

Snacks
4
2
7
9
5
4
2
3
5

Dinner
Baked Beans
Pasta
Beans
Fish
Tofu
Split Peas
Chickpeas
Pork
Rice
None

10
1
10
5
8
13