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a study on pheripheral arterial disease and its correlation in patients with Type 2 diabetes following treatment at floreal mediclinic

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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Section A Sociodemographic Data
1

Age Group

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2

Gender

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3

Marital Status

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4

Staying/ with

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5

Educational Level

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6

Occupation

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7

Are you

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Section B : Medical History

8

Duration of DM

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9

Family History of DM

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10

What Diabetes Medications do you take

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11

If OHA select that applied

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12

Which antiplatlet(s) do you take

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13

Are you on anticoagulant?

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14

do you take anti-hypertensive drugs?

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15

Do you take lipid lowering drugs?

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16

Any Comorbidities do you have? Select that applied

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Section B: Risk Factors for Pheripheral Arterial Disease

17

BMI

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18

Waist size

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Section A Sociodemographic Data