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Record of Grantee Meetings


Assessment Materials, Forms & Instruments


Lifestyle Survey (PDF)

This two-page survey can be completed by patients or program participants. It assesses lifestyle factors associated with self management including among other things healthy eating, physical activity, support from family and friends and access to resources in the community.

Author site: Minneapolis American Indian Center I 2004

Related Links

  • For other tools on multiple self management behaviors: Click here
  • For more assessment tools: Go back

The Diabetes Initiative was a national program of the Robert Wood Johnson Foundation from 2002 to 2009.
Archived in 2009, this site is a repository for information and resources gathered over the course of the Initiative.