Risk Assessment

Check all boxes that apply to you. If you check one or more boxes, please print out and discuss this with your doctor and get a more complete assessment of your risks.

Age and Sex
I am a man over 40 years old OR I am a woman over 50 years old OR I am a woman who has passed menopause or had my ovaries removed.
Family History
My father or brother had a heart attack before age 55 OR my mother or sister had a heart attack before age 65 OR my mother, father, sister, brother or grandparent had a stroke.
Blood Pressure
My blood pressure is 140/90 millimetres of mercury or higher OR a health professional has said my blood pressure is too high OR I don’t know what my blood pressure is.
Tobacco Smoke
I smoke OR live/work with people who smoke tobacco regularly.
Total Cholesterol
My total cholesterol is 6.2 millimoles per Litre (240 milligrams per decilitre) or higher OR I don’t know my level.
HDL Choldesterol
My HDL (“good”) cholesterol is less than 1.0 millimoles per Litre (40 milligrams per decilitre) OR I don’t know my HDL cholesterol level.
Physical Activity
I get less than a total of 30 minutes of physical activity on most days.
Overweight
I am 9.1 kilograms (20 pounds) or more overweight for my height and build.
Diabetes
I have diabetes (a fasting blood sugar of 7.0 millimoles per Litre (126 milligrams per decilitre) or higher) OR I need medicine to control my blood sugar.
Heart Disease Medical History
I have coronary heart disease, atrial fibrillation or other heart condition(s) OR I’ve had a heart attack.
Stroke Medical History
I’ve been told that I have carotid artery disease OR I’ve had a stroke or TIA (transient ischemic attack) OR I have a disease of the leg arteries, a high red blood cell count or sickle cell anemia.

You can download a copy of this risk assessment here.