Are You At Risk of Prediabetes?

Prevent and Manage Chronic Conditions

Oregon Wellness Network (OWN) is offering no-cost wellness programs to help you prevent and manage chronic conditions. Answer the questions below to see which program is right for you!
How old are you?*

Less than 40 years (0 points)40-49 years (1 point)50-59 years (2 points)60 years or older (3 points)
Are you a man or woman?*

Man (1 point)Woman (0 points)
Have you ever been diagnosed with gestational diabetes?*

Yes (1 point)No (0 points)
Do you have a mother, father, sister, or brother with diabetes?*

Yes (1 point)No (0 points)
Have you ever been diagnosed with high blood pressure?*

Yes (1 point)No (0 points)
Are you physically active?*

Yes (0 points)No (1 point)
Look at the chart below. Find your height, then your weight range. Then, move to the bottom of the chart to see your points. How many points does this chart say for your height and weight?*

0 points - my weight was lower than what is listed for my height1 point2 points3 points
Your Score:
If you scored 5 or higher:

You're likely to have prediabetes and are at high risk of developing type 2 diabetes. However, only your doctor can tell for you sure if you have type 2 diabetes or prediabetes (a condition that preceded type 2 diabetes in which blood glucose levels are higher than normal). Talk to your doctor to see if additional testing is needed.
If you would like to be contacted about one of our no-cost prediabetes classes, please enter your contact information below before you click submit.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What type of insurance do you have?

MedicareMedicaidPrivate insuranceI don't have insurance
Please select your age range

18-6465+
Would you prefer to attend the program in-person or virtually?

In-personVirtuallyEither is fine
What days work best for you?

WeekdaysWeekendsEither is fine
What times work best for you?

MorningsAfternoonsEveningsAny of these are fine
How did you hear about OWN's no-cost wellness programs?

Social mediaGoogle SearchDoctor referralAgency referralWord of mouthOther
Do you know if you have diabetes?*

I have diabetesI have prediabetesI do not have diabetes or prediabetesI do not know my status
Click here to receive text messages about health and wellness programs and events from Oregon Wellness Network
By clicking submit, you agree to receive information about health and wellness programs and events from Oregon Wellness Network.
Should be Empty: