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Heart Disease and Diabetes Questionnaire

Diabetes Risk Questionnaire

1. I am 45 years of age or older and I am 25 pounds or more overweight.

2. I have a sister or brother with diabetes.

3. I have a mother, father, aunt or uncle with diabetes.

4. I am a woman who has had a baby weighing more than nine pounds at birth.

5. I don't exercise at least five times a week for 30 minutes duration.

If you answered yes to two or more questions, we invite you to schedule an appointment for testing your hemoglobin A1C at the upcoming health fair. Our experienced nurse will prick your finger for the tiny drop of blood that is needed for this very useful blood test. The test will help determine if your blood sugar level has been elevated in the past 2-3 months. The results are available in less than 10 minutes and the nurse will provide you with information on what to do with your results. You can eat normally the day of this blood test; no fasting is required.

 

Heart Disease Risk Questionnaire

1. I smoke cigarettes.

2. I have a family history of coronary heart disease (father or brother with heart attack or angina before age 55 or a mother or sister with heart attack or angina before age 65).

3. I have a history of high blood pressure, or I take medication regularly to control my high blood pressure.

4. I don't exercise at least five times a week for 30 minutes duration.

5. I am a woman who has gone through menopause or has had ovaries removed.

6. I am 20 pounds or more overweight.

7. I have elevated cholesterol and or LDL levels, or I take medication to control my cholesterol levels.

If you answered yes to three or more questions, we invite you to schedule an appointment at your health fair for testing your total cholesterol and HDL blood levels. Our experienced nurse will prick your finger for the tiny drop of blood that is needed for this very useful blood test. The results are available in less than 10 minutes and the nurse will provide you with information on what to do with your results. A 12-hour fast is required for this test. We will make every effort to schedule your test early on the morning of your health fair.