Burjeel

Full Name *

Phone No *

Email ID *

Company Name

How Old Are You? *

49 or Younger

50–59

60–69

70 or Older

Are You Female or Male? *

What is Your Ethnic Background? *

Do you Have a Father, Mother, Brother, Sister and/or Own Child with Type 1 or Type 2 Diabetes? *

Measure Your Waist Circumference and Choose the Range: *

Less than 90cm (35.3in)

90–99.9cm (35.4–39.3in)

100–109.9cm (39.4–42.9in)

110cm (43in) or above

What is Your BMI (Body Mass Index Chart Can Be Used) *

Less than 25

25–29.9

30–34.9

35 or above

Have You Been Given Medicine for High Blood Pressure Or Told That You Have High Blood Pressure, by Your Doctor?

Al Najdah Street, Abu Dhabi