Questionnaires
This questionnaire has been developed to assist in the collection of data in relation to my
thesis dissertation titled, Assessing the Knowledge of type 2 diabetes risk factors among
skilled workers in Dar es Salaam. A case of Kinondoni Municipal.
Part I: Demographic Characteristics
1. Age …………………
2. Sex
a. Male
b. Female
3. Education level
a. Diploma
b. Undergraduate
c. Postgraduate
4. Marital status
a. Single
b. Married
5. Employment category
a. Private sector
b. Public sector
6.
Part II:Knowledge of type 2 diabetes risk factors
1. Do you have a family member who is affected by type 2 diabates ?
(a.) Yes
(b.) No
(c.) I don’t know
2. Is a high fat and high carbohydrate diet associated with the development
of type 2 diabetes?
(a.) Yes
(b.) No
(c.) I don’t know
3. Is regular physical activity beneficial in preventing type 2 diabetes
(a.) Yes
(b.) No
(c.) I don’t know
4. Does type 2 diabetes only affect old people?
a. Yes
b. No
c. I don’t know
5. Can being obese or overweight put you at risk of type 2 diabetes?
a. Yes
b. No
c. I don’t know
6. Do you know that smoking may lead to the development of type 2
diabetes?
a. Yes
b. No
c. I don’t know
7. Do you know that consumption of alcohol may lead to development of
type 2 diabetes?
a. Yes
b. No
c. I don’t know
8. Have you ever received information related to type 2 diabetes
prevention?
a. Yes
b. No
c. I don’t know
Part III:Lifestyle and Dietary Patterns
1. How many times a week do you exercise ?
a. I don’t exercise
b. Once a week
c. Three times a week
d. More than three times a week
2. For how long do you excersice?
a. 10 minutes
b. 30 minutes
c. 60 minutes
d. More than 60 minutes
3. How often do you include vegetables in your meals?
a. At every meal
b. At almost every meal
c. At least once a week
d. Never
4. How often do you include fruits in your meals?
a. At every meal
b. At almost every meal
c. At least once a week
d. Never
5. How often do you take alcohol ?
a. Always
b. Sometimes
c. Rarely
d. Never
6. How often do you consume fast food (i.e chips mayai, KFC, pizza)
a. Always
b. Sometimes
c. Rarely
d. Never
7. How often do you consume sweet beverages (i.e soda, juice)
a. Always
b. Sometimes
c. Rarely
d. Never
Part IV: Risk Perception
1. Do you believe you at risk of developing type 2 diabetes in the near
future
a. Agree
b. Strongly agree
c. Disagree
d. Strongly disagree
2. I believe that type 2 diabetes can lead to serious health complications
such as kidney disease
a. Agree
b. Strongly agree
c. Disagree
d. Strongly disagree
3. I believe that regular physical activity and consuming a healthy diet
can significantly reduce the risk of developing type 2 diabetes
a. Agree
b. Strongly agree
c. Disagree
d. Strongly disagree
4. I think I do not have access to relevant source of information on
preventive measures of type 2 diabetes
a. Agree
b. Strongly agree
c. Disagree
d. Strongly disagree
5. Do you feel confident that you can control the risk factors associated
with the development of type 2 diabetes?
a. Agree
b. Strongly agree
c. Disagree
d. Strongly disagree