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SCHOOL OF ARCHITECTURE, BUILDING & DESIGN Foundation in Natural and Built Environments MATHEMATICS [MTH30104] This survey is to fulfill the purpose of our Mathematics’ project. Participation in voluntary and the information gathered will be kept confidential. DIABETES SURVEY QUESTIONAIRE 1. Your gender Male Female 2. Which ethnicity is at the highest risk for Diabetes? African European Asian 3. Which races is most affected by diabetes in Malaysia? Malay Chinese Indian 4. How many types of diabetes are there? 1 2 3 4 5. What age is the highest risk for diabetes to happen? below 30 31-59 60 and above 6. What types of diabetes can be prevented through lifestyles changes? Type 1 diabetes Type 2 diabetes All of above 7. High blood pressure is a risk factor for diabetes? True False

Surveyform (assignment 2)

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Page 1: Surveyform (assignment 2)

SCHOOL OF ARCHITECTURE, BUILDING & DESIGNFoundation in Natural and Built EnvironmentsMATHEMATICS [MTH30104]

This survey is to fulfill the purpose of our Mathematics’ project. Participation in voluntary and the information gathered will be kept confidential.

DIABETES SURVEY QUESTIONAIRE

1. Your gender☐ Male ☐ Female

2. Which ethnicity is at the highest risk for Diabetes? ☐ African ☐ European Asian☐

3. Which races is most affected by diabetes in Malaysia? ☐ Malay Chinese☐ Indian☐

4. How many types of diabetes are there? 1☐ 2☐ 3☐ 4☐

5. What age is the highest risk for diabetes to happen? below 30☐ 31-59☐ 60 and above☐

6. What types of diabetes can be prevented through lifestyles changes? ☐ Type 1 diabetes ☐ Type 2 diabetes ☐ All of above

7. High blood pressure is a risk factor for diabetes? True☐ False☐

8. Which of the following can alter a person’s blood glucose levels?

☐ Exercise Climate ☐ Stress Level☐ All of above☐

9. Which factor do you think is the main causes of this disease? Genetic☐ Unhealthy lifestyle☐

Page 2: Surveyform (assignment 2)

10. When is the suitable time to have a blood test? Before meal ☐ After meal☐

11. At which stages of diabetes can be cured? First stage☐ Second stage ☐ Third Stage☐ Forth Stage☐

Fifth stage☐ All stages☐

12. What are the symptoms for diabetes? Excessive thirst☐ Increased hunger Tiredness☐ ☐ All of above☐

13. Which of the following are complications of diabetes? Delayed wound healing☐ vision loss☐ Kidney failure☐

All of above☐

14. What gender is more likely to be diagnosed with diabetes? Male☐ Female☐

15. What type of sugar is the best for diabetes patient? brown sugar☐ artificial sweetener☐ white sugar☐

16. What are the most effective ways to control diabetes? Exercise regularly ☐ Take medicine Reduce alcohol drinks☐ ☐

17. What is the sugar level of diagnosis of a diabetes patient? More than 6.0 mmol/l (108mg/dl) More than 6.9 mmol/l (126mg/dl)☐ ☐

18. Gestational Diabetes usually effect to what type of people? Female during pregnancy People who overweight☐ ☐

19. A feeling of itchiness on your skin is sometimes a symptom of diabetes. Yes No☐ ☐

20. Diabetes is a disease of blood sugar. Yes No☐ ☐