APPENDIX

QUESTIONNAIRE

Dear respondent

We arefrom Daha International University, pursuing a medical laboratory science. we are

currently carrying out a study about “Assessment of Triglycerides to High Density Lipoprotein
Cholesterol Ratio and C - reactive protein Among Type 2 Diabetic at Somali Sudanese Hospital
” as a requirement for the award of Bachelor of lab. We humbly request you to be one of the
participants in this study and your cooperation will be of great importance to this study. Your
answers will be kept with utmost confidentiality.

SECTION 1 SOCIAL DEMOGRAPHIC

1. Sex
Female
Male
2. Marital status
Married
Divorced
Widower
3. Educational level
Primary
Secondary level
Bachelor’s degree
No formal education
4. Age
18--25
26--34
35-43
45--51
60--above
SECTION B: PREVALENCE CHOLESTEROL

1. Result of Laboratory diagnosis

a. positive
b. Negative
2. The level of
a. normal
b. abnormal
c. none
3. family history of high triglycerides or heart disease?
a. yes
b. No
4. What is your most recent triglyceride level?
a. normal
b. abnormal
5. Which Type of your food free sugar?
a. yes
b. No
6. Do you measure your protein levels?
a. Every time
b. Sometimes
c. Never
SECTION C: RISK FACTORS OF TRIGLYCERIDES TO HIGH DENSITY LIPOPROTEIN

1. Do you consume alcohol?

a. Yes
b. No
2. Do you visit doctor regularly?
a. Yes
b. No
3. What are Clinical Characteristics of C-reactive protein levels?
a. normal
b. abnormal
4. If it is abnormal, what is it?
a. High fever
b. Severe headaches
c. Abdominal pain
d. Nausea
e. Vomiting
f. Rapid heartbeat