1
Do you have a family history (parents or siblings) of heart disease?
Answer YES if your father or brother was diagnosed with heart disease at age 55 or earlier OR your mother or sister was diagnosed with heart disease before age 65.
2
Do you have a family history of early stroke?
Answer YES if your father or brother had a stroke before age 55 OR your mother or sister had a stroke before age 65.
3
Do you have a family history of other cardiovascular disease? ( such as: High blood pressure, Congestive heart failure, Poor circulation in your legs, Arrhythmias)
4
Are you African American?
5
Do you have high cholesterol or take medication to treat high cholesterol?
6
Are you over 35 AND taking birth control pills?
7
Are you frequently under stress?
8
Do you exercise less than three days per week for less than 30 minutes each time?
9
Are you age 45 or older OR have you already gone through menopause (natural or surgical)?
10
Are you overweight or obese?
11
Do you smoke, use tobacco products, or are you exposed to second-hand smoke on a daily basis?
12
Do you have high blood pressure (hypertension) or are you currently taking medication to treat high blood pressure?
High blood pressure is defined as higher than 120/80.
13
Are you diabetic or do you currently take medication to treat diabetes?
14
Do you have kidney disease or receive dialysis?
15
Have you ever been diagnosed with Metabolic Syndrome?
Metabolic syndrome is defined as having at least three of the following:
* High blood sugar after fasting (>110 mg/dL)
* High triglycerides (>150 mg/dL)
* Low “good” cholesterol (>50 mg/dL for women; >40 mg/dL for men)
* Blood pressure of 130/85 or higher
* Waist measurement: 35 inches (89 cm) or greater for Women; 40 inches (102 cm) or greater for Men.
