1. Are you 65 years or older? ____ Yes ____ No
2. Are you male? ____ or female? ____
3. Did your parents have heart disease? ____ Yes ____ No
4. Are you African American? _____ Mexican American? _____ American Indian? _____ native Hawaiian?
5. Do you smoke? ____ Yes ____ No
6. Do you have high blood cholesterol? ____ Yes ____ No
7. Do you have high blood pressure? ____ Yes ____ No
8. Do you exercise regularly? ____Yes ____ No
9. Are you overweight? ____ Yes ____ No
10. Do you have diabetes mellitus? ____ Yes ____ No 

Answers:
Risk Factors That Cannot Be Changed: 1.Age – 65 and older have increased risk. 2. Sex – Men have a greater risk. 3. Heredity – family history of heart disease. 4. African American, Mexican American, American Indians and native Hawaiians have a higher risk.

Answers:
Risk Factors You Can Modify, Treat or Control: 5. Smokers have 2 – 4 times higher risk than non-smokers. 6. As blood cholesterol rises, so does risk. 7. High blood pressure increases the heart’s workload & increases risk for heart attack, stroke, kidney failure, and congestive heart failure. 8. An inactive lifestyle is a risk. 9. Excess body fat increases risk particularly body fat around the waist. 10. Diabetes seriously increases risk.

For more information about our Healthy Heart Screening program or on our Physician Referral Program, please call 1-800-897-9789.