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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 peripheral neuropathy (nerve damage causing pain, numbness, or weakness in the feet)?

Yes
No
Not sure

How physically active are you?

Not at all
Somewhat active
Active

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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