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  1. Surveys
  2. 2015
  3. October
  4. B
  5. Black women against diabetes
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Do you have a immediate family member with diabetes?
 
yes
 
no
 
 
 
Do you have a BMI that is greater than 25?
 
yes
 
no
 
 
 
Are you younger than 65 and get little or no exercise in a typical day?
 
yes
 
no
 
 
 
Are you 65 years of age or older?
 
yes
 
no
 
 
 
How many days a week do you drink alcohol?
 
none
 
1-2
 
3-4
 
4-5
 
5 or more
 
 
 
Household income?
 
Less than 20,000
 
20,000 to 29,000
 
30,000 to 49,000
 
over 50,000
 
 
 
Educational Level?
 
Less than high school
 
High school diploma or GED
 
College degree or higher
 
other________________
 
 
 
How do you pay for your healthcare?
 
Pay cash (no insurance)
 
Health insurance
 
Medicaid
 
Medicare
 
Veteran's Administration
 
other_______________
 
 
 
Marital Status?
 
Married
 
Single
 
 
 
How would you rate your community's health?
 
very uhealthy
 
unhealthy
 
Somewhat healthy
 
Healthy
 
Very healthy
 
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