To learn more about our prediabetes study and see if you may qualify: How did you hear about our study? * Social media (e.g. Facebook) Postcard in mail Flyer Healthcare provider Browsing internet (your lab website) Radio ad Email ad Other Which study site is closest to you? * Please note that you must live within 30 miles of one of our study sites to be eligible. Johns Hopkins Hospital, 550 North Broadway, Baltimore, MD 21205 Reading Hospital Tower Health, 420 S. 5th Avenue, West Reading, PA 19611 Name * First Name Last Name Email * Phone (###) ### #### To determine whether you are eligible for our study, we will need to collect some more information from you. How would like us to collect this information from you? Ask me the questions by phone Send me the survey link by email Send me the survey link by text message Thank you for your interest in our study!One of our research coordinators will contact you as soon as possible using the communication preference you listed in this form. If you have any questions, you may contact us by phone:Johns Hopkins site (Baltimore): 443-927-8528Reading site (Reading): 484-628-8355Or you may send us an email at prediabetes_study@jh.edu