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  5. The Australian Type 2 Diabetes Risk Assessment Too
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Exit Survey
 
 
Your age group
 
Under 35 years
 
35 to 44 years
 
45 to 54 years
 
55 to 64 years
 
65 years or over
 
 
 
2. Your gender
 
Female
 
Male
 
 
 
3. Your ethnicity/country of birth

3a. Are you of Aboriginal, Torres Strait Islander, Pacific Islander or Maori descent?
 
No
 
Yes
 
 
 
3b. Where were you born?
 
Australia
 
Asia (including the Indian sub-continent), Middle East, North Africa, Southern Europe
 
Other
 
 
 
4. Have either of your parents, or any of your brothers or sisters been diagnosed with diabetes (type 1 or type 2)?
 
No
 
Yes
 
 
 
5. Have you ever been found to have high blood glucose (sugar) (for example, in a health examination, during an illness, during pregnancy)?
 
No
 
Yes