What is your Gender? * Male Female What is your Age? * <35 36-49 >50 What is your waist measurement? (Male > 90, Female > 80) * Male < or = to 90 cms Female < or = to 80 cms Male > than 90 cms Female > than 80 cms Any Family member with Diabetes? * Yes No Do you eat High Glycemic index fruits very often?( Mango, Chiku, Custard apple, Banana, Water melon, Grapes etc.) * Yes No Do you eat Junk food very often? ( Burgers, Pizzas ,Chinese, Wadapav, Panipuri etc.) * Yes No Are you physically active?(45 min brisk walking or equivalent 5 days every week) * Yes No Is your work physically demanding? * Yes No How often do you check your sugar levels? * Monthly 6 Months Yearly What does your previous diabetes report indicate? * Normal Abnormal Have you ever been diagnosed with high blood pressure? * Yes No What does your previous cholesterol report indicate? * Normal Abnormal Fill in your details below Name * Email ID * City * Mobile No. * Captcha * * indicates required fields.