Heart Disease Risk Assessment: What's Your Risk?
The following questionnaire gives a sense of the likelihood of having or developing heart disease.
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Are you male or female? *
If you're a woman have you already experienced menopause? *
Risk Assessment Questions
Yes
No
Are you over age 55?
Do you currently smoke?
Do you have an immediate family member (parent, sibling, or child) who has developed or died from heart disease before the age of 50?
Are you overweight?
In terms of your body type, do you carry your weight higher in your body rather than low in your body (apple shape rather than pear shape body?
Would you describe the amount of exercise that you get as low (less than 30 minutes of physical activity on most days)?
Has a blood test in recent years shown that you have high cholesterol?
Has a blood test in recent years shown that your LDL (bad cholesterol) is too high?
Has a blood test in recent years shown that your HDL (good cholesterol) is too low?
Has a blood test in recent years shown that you have high triglycerides?
Is your blood pressure 140/90 or higher?
Does your diet consist of high-fat foods?
Do you ever experience rapid fatigue, shortness of breath, or light-headedness from modest physical exertion, such as walking up a flight of stairs?
Would you describe your stress levels in your life as high?
Do you have diabetes?
Averaged, do you have the equivalent of more than one drink of alcohol per day?
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