Is Your Heart at Risk?

Health History
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2. What is your gender? *This question is required.
3. Has anyone in your immediate family (i.e. mother, father, brother, sister) had heart disease or a heart attack before age 65? *This question is required.
4. Do you have high blood pressure (130/80 or above) or are you on blood pressure medication? *This question is required.
5. Have you been told that you have high cholesterol or are you on cholesterol lowering medication? *This question is required.
6. Do you have elevated blood sugar or diabetes? *This question is required.
7. Do you currently use tobacco or have you quit within the last 5 years? *This question is required.
8. Are you 10 pounds or more overweight? *This question is required.
9. Do you commonly experience difficulty sleeping? *This question is required.
10. Do you commonly feel that you are overstressed? *This question is required.
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