Start Your Assessment

To begin your assessment, please complete the 5 step form below. Payment is made at the end of the form. Optional ongoing monthly support available at checkout.

Please note that you must meet the following criteria to receive our services:

Not diagnosed with Type 1 or Type 2 diabetes
Not awaiting surgery
Not diagnosed with cancer in the last 12 months
Not undergoing any cancer treatment
Not pregnant or currently breastfeeding
Not had bariatric surgery in the last 2 years
Not taking anabolic steroids
Do not have an active eating disorder
Reside in the UK or are a British Citizen
Age 18 or over
BMI of 26 or above

You can calculate your BMI below.

BMI Calculator

Weight:

st/lb

stlb

Height:

ft/in

ftin

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- Step 1 of 5

Your Details

Contact email address *

Confirm Email

This is the contact email that we will send your assessment to.

Name *

First

Last

Date of Birth *

Sex *

This is your sex assigned at birth.

Ethnicity

Some ethnic groups are at a higher risk of developing type 2 diabetes due to genetic and lifestyle factors. Sharing your ethnic background if you feel comfortable helps us provide you with risk information and advice that is as accurate and as relevant as possible.

Occupation

By understanding your occupation, we can provide you with more personalised and relevant advice for diet and lifestyle changes.

Health Questions

Units (Your Height) *

Feet, inches
cm

Height (Feet) *

Height (Inches) *

Height (cm) *

Units (Your Weight) *

Stones, pounds
kg

Weight (Stone) *

Weight (Pounds) *

Weight (kg) *

Please select all that apply to you:

Currently having weight loss injections (e.g. Wegovy or Mounjaro)
Smoker
Have heart disease
Have high blood pressure
Have high cholesterol
Have an under-active thyroid
Have inflammatory bowel disease
Have irritable bowel syndrome
Have chronic kidney disease
Have a parent or grandparent that has had diabetes
Caring for children under 18

Have you ever been diagnosed as prediabetic? *

If known, please enter your most recent HbA1c reading (mmol/mol):

Pre-diabetes: 42-47 mmol/mol

Do you have any mental health conditions we should be aware of? *

Understanding this helps us provide safe, appropriate, and personalised nutrition advice.

Please provide details: *

Have you had surgery in the last 12 months? *

Having surgery in the past year can impact your overall health, recovery, and risk factors related to diabetes.

Please provide details: *

Are you currently taking any medication? *

Please provide details: *

Do you have any physical disabilities? *

Please provide details: *

How is your overall general health? *

Your overall health can affect your risk of developing diabetes and may influence the most suitable advice or support we provide.

What are your goals and what would you like to achieve? *

How frequently do you engage in 20+ minute exercise sessions? *

If applicable, what type of exercise do you regularly engage in?

Dietary Questions

Which one of the following applies to you? *

Vegetarian
Vegan
Pescatarian
None of the above

Do you have any food allergies, intolerances, or special diets? *

Please provide details: *

Have you recently made changes to your diet? *

Please provide details: *

Understanding if you’ve recently changed your eating habits helps us give advice that’s right for you.

Have you tried losing weight before? *

Knowing about any previous weight loss efforts helps us understand your journey, challenges, and what strategies have worked or not worked for you.

Please provide details: *

Do you typically eat breakfast? *

Your Typical Breakfast

This shows what we consider small, medium and large portions

How would you describe your typical breakfast portion size? *

Small
Medium
Large

Weekdays: what do you typically eat for breakfast during the week? *

Please provide as much detail as possible as this information is important.

Does your breakfast typically differ on the weekend? *

Weekends: what do you typically eat for breakfast during the weekend? *

Please provide as much detail as possible as this information is important.

Do you typically eat lunch? *

Your Typical Lunch - We need 3 examples of typical or common lunches that you eat

This shows what we consider small, medium and large portions

How would you describe your typical lunch portion size? *

Small
Medium
Large

Example Lunch 1: What is the meal? - Please provide as much detail as possible *

Please share as many details as you can. The more we know, the better we can tailor our advice to suit your unique needs and help you achieve the best results.

Example Lunch 2: What is the meal? - Please provide as much detail as possible *

Please share as many details as you can. The more we know, the better we can tailor our advice to suit your unique needs and help you achieve the best results.

Example Lunch 3: What is the meal? - Please provide as much detail as possible *

Please share as many details as you can. The more we know, the better we can tailor our advice to suit your unique needs and help you achieve the best results.

Do you typically eat dinner? *

Dinner Information

This shows what we consider small, medium and large portions

How would you describe your typical dinner portion size? *

Small
Medium
Large

How often do you consume sauces such as mayonnaise or ketchup?

Your Typical Dinner - We need 3 examples of typical or common dinners that you eat

Please select the foods you would eat for one typical meal for one day.

Example Dinner 1: What is the meal? - Please provide as much detail as possible *

Example Dinner 2: What is the meal? - Please provide as much detail as possible *

Example Dinner 3: What is the meal? - Please provide as much detail as possible *

Snacks and Other Meals

Please provide details of any additional meals that you consume excluding snacks or puddings.

Do you regularly consume puddings, biscuits, cakes or sweets? *

Please provide details on the puddings, biscuits, cakes or sweets that you consume? *

Do you often have food cravings? *

Do you eat snacks between meals? *

you Please Inches)

How often do you consume snacks between meals? *

Snacking habits - what do you eat between meals and how much? *

Please share as many details as you can. The more we know, the better we can tailor our advice to suit your unique needs and help you achieve the best results.

If you have any other notable and/or frequent meals that have not been included so far, please provide details:

Drink Diary

How frequently do you consume alcohol? *

How many units of alcohol do you consume weekly? *

Please provide details on the type of alcohol you often consume. *

Drinks - what do you typically drink throughout the day? *

Please share as many details as you can. The more we know, the better we can tailor our advice to suit your unique needs and help you achieve the best results.

Do you drink tea and/or coffee? *

How much sugar do you have with your tea/coffee *

Do you drink milk with tea and/or coffee? *

What type of milk do you drink? *

How often do you consume takeaway or fast food? *

Any foods you wouldn’t give up completely? *

How did you hear about us?

Consent Statement

I confirm that I agree to the Terms of Service and Privacy Policy. *

Please tick to confirm.

These can be found on our Privacy and Terms page, or you can click the link below to open them in a new window.

Payment & Submission

Service Selection *

Dietetic Assessment - £79.00

+1 Month additional support

+1 month support - £49.00

1 Month of Support: We’ll provide weekly email check-ins for one month after you receive your assessment. During this time, you can ask questions and receive ongoing support as you work towards your goals.

Total

£0.00

Payments are processed securely via Stripe. Prevent Diabetes does not store or access your card information at any point.

Payment Details *