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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