| Do you eat cereal bars, breakfast cereals, crisps, corn chips or other junk food more than five times a week? | Yes | No | |
| Do you have high blood pressure? | Yes | No | |
| Do you have a difficult time losing weight despite exercising regularly? | Yes | No | |
| Do you carry more weight in the upper abdominal area of your torso? (e.g. is your waist larger than your hips?) | Yes | No | |
| Have you a close relative who has had heart disease, high blood pressure, Type II Diabetes, Polycystic Ovarian Syndrome or obesity? | Yes | No | |
| Do you have difficulty concentrating, feel irritable or get headaches between meals? | Yes | No | |
| Do you have high cholesterol? | Yes | No | |
| Do you experience frequent cravings for sugars or other high carbohydrate foods? | Yes | No | |
| Are you 4.5 kilos (10 pounds) or more over what you would call your 'ideal' weight | Yes | No | |
| Do you often feel tired after eating a meal? | Yes | No | |
| Do you eat meals that emphasize bread, pasta, rice or potatoes more than 3 times per week? | Yes | No | |
| Are you hypoglycemic (low blood sugar)? | Yes | No | |
| Do you exercise less than 2 times a week? | Yes | No | |
| Do you feel energy swings throughout the day? | Yes | No |
| 1-2 | Not predisposed to Insulin Resistance |
| 3-5 | You could be setting the stage for Insulin Resistance |
| 6-9 | Probably insulin resistant. Recommend taking action to reverse Insulin Resistance. |
| 10-14 | A high probability that you have Insulin Resistance. Highly recommend taking action to reverse it now. |