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Hello:
You are invited to participate in our personalized survey. In this survey, we will ask you questions that will help us determine your risk of developing atherosclerosis and type 2 diabetes. It will take approximately two minutes to complete but the information you receive from completing the survey may change your life.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you may leave them blank.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and only we will have access to it. If you have questions at any time about the survey or the procedures, we will be happy to assist you.

Thank you very much for your time. Please start with the survey now by clicking on the Continue button below.

 
 
 
Name:
   
 
 
 
Indicate your sex.
 
Male
 
Female
 
 
 
Indicate your age.
 
>18
 
18-21
 
22-40
 
41-60
 
61+
 
 
 
Are you a smoker?
 
Yes
 
No
 
 
 
Do you have a history of high blood pressure or high cholesterol?
 
Yes
 
No
 
I don't know
 
 
 
Do you have a family history of type 2 diabetes?
 
Yes
 
No
 
I don't know
 
 
 
Please drag and rank(1st to 7th) the following in order of consumption:
Drag your choices here to rank them
     
     
     
    How often a week do you exercise?
     
    0-2
     
    3-4
     
    5-6
     
    >6
     
     
     
    What is your BMI? (refer to the graph on the table or in this app)