Are you at risk for heart problems?
Take our short survey to find out.
Age & sex
Yes No I am older than 45 years and a man.
Yes No I am older than 55 and a woman.
Family history
Yes No My father or brother had a heart attack before age 55.
Yes No My mother or sister had a heart attack before age 65.
Blood pressure
Yes No My blood pressure is 140/90 or higher.
Yes No A doctor or nurse has told me my blood pressure is too high.
Yes No I don't know what my blood pressure is.
Smoking
Yes No I am a smoker.
Cholesterol
Yes No My total cholesterol is 200 mg/dL or higher.
Yes No My HDL cholesterol is less than 40 mg/dL.
Yes No I don't know my cholesterol levels.
Exercise & weight
Yes No Most days, I get less than a total of 30 minutes of physical activity.
Yes No I have a BMI (Body Mass Index of more than 25.
Medical history
Yes No I have diabetes.
Yes No I use medicine to control my blood sugar.
Yes No I have a fasting blood sugar level of 126 mg/dL or higher.
Yes No I have had angina (chest pains) or a heart attack.
Scoring
If you answer "yes" to any of the questions above, print and take this form to your next doctor's appointment. It's time to start learning how to reduce or control the risks that may be in your body or your lifestyle.
Calculate your risk of a heart attack
If you know your cholesterol levels, you can calculate your risk of having a heart attack in the next 10 years.
