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What is your gender?

Male
Female
Other

How long have you been diagnosed with diabetes?

Less than 1 year
1-5 years
6-10 years
More than 10 years

Do you have diagnosed peripheral neuropathy (nerve damage, numbness, or weakness in the feet)?

Yes
No
Not sure

How physically active are you? (walking, running, hiking)

Not at all (little or no excercise)
Lightly active (1-3 days / week)
Moderately active (3-5 days / week)
Very active (6-7 days / week)

Are you using tobacco products?

Yes
No

How old are you?

18-35
36-50
51-65
Over 65

What is your height and weight?

Imperial Metric

Height

lb kg

Weight

100 Continue

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