Do you have heart disease?
Heart disease includes: angina, myocardial infarction or heart attack, angioplasty, or bypass surgery.
YES
NO
Have you ever had a stroke or mini-stroke (a transient ischaemic attack)?
Stroke means having a blood clot or hemorrhage in the brain.
YES
NO
Do you have peripheral vascular disease?
Poor circulation in the legs due to blocked arteries.
YES
NO
Do you have diabetes?
Diabetes means having been diagnosed with diabetes by a physician or taking oral blood sugar lowering medication or insulin injections.
YES
NO
Have you been told by a doctor that you have pre-diabetes?
YES
NO
For how many years are you living with diabetes?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
more than 30 years