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☐

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☐ ☐