Are you 45 years of age or older?	Yes	No
Do you have a parent with diabetes?	Yes	No
Do you have a sibling (brother or sister) with diabetes?	Yes	No
Has your physician/health care provider suggested that you need to lose weight?	Yes	No
Are you physically inactive? (If you work out less than 3 times per week for at least 30 minutes per day)?	Yes	No
Are you the mother of a child who weighed over 9 pounds (4 kg) at the time of birth?	Yes	No
Do you experience frequent urination and/or excessive thirst?	Yes	No
Have you ever had slightly raised levels of blood sugar in your test?	Yes	No
Have you ever occurred from gestation diabetes (raised sugar level during pregnancy?)	Yes	No