| 1.Do you feel like FREQUENT URINATION (Especially during night)? |
| True |
| False |
|
| 2. Do you feel ALWAYS HUNGRY (Especially after eating)? |
| True |
| False |
|
|
| 3. Do you crave for EXTRA LIQUIDS (More than 10 glasses/day)? |
| True |
| False |
|
| 4. Do you always FEEL TIRED? |
| True |
| False |
|
| 5. Do you have SORES THAT WONT HEAL? |
| True |
| False |
|
| 6. Do you have VAGINAL INFECTIONS (Itching)? |
| True |
| False |
|
| 7. Do you have VAGINAL INFECTIONS (Itching)? |
| True |
| False |
|
| 8. Do you have SEXUAL DYSFUNCTIONS (Difficulty with erection)? |
| True |
| False |
|
| 9. Do you feel UNEXPLAINED WEIGHT LOSS? |
| True |
| False |
|
| 10. Do any of your FAMILY MEMBERS HAVE DIABETES? |
| True |
| False |
|
| 11. Do you think you’re OVER WEIGHT (Waist measurement is more than ˝ your height? |
| True |
| False |
|
| 12. Do you have NUMBNESS AND TINGLING OF FEET? |
| True |
| False |
|
| 13. Do you have BLURRED VISION? |
| True |
| False |
|
