Cardiovascular Risk Assessment – Muskegon YMCA

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Cardiovascular Risk Assessment

Cardiovascular Risk Assessment

CARDIOVASCULAR RISK ASSESSMENT

SEE IF YOU QUALIFY FOR THE BLOOD PRESSURE SELF-MONITORING PROGRAM

This screening tool is not intended to diagnose cardiovascular disease. To better understand your risk, speak with your physician.

Age*
- 39 or younger
- 40+
- 60+
Do you have a parent or sibling with heart disease?*
- No history of heart disease
- Unknown history
- Yes, history of high blood pressure or cholesterol, heart attack or stroke
Blood Pressure*
- 120/80 or less
- 130+/80+ or don't know
- 140+/90+
BMI (chart is below)*
- 24 or less
- 25-29
- 30+
Cholesterol*
- Below 200
- 200-239 or don't know
- 240+
Diabetes*
- A1c < 5.6, Fasting Glucose <100
- A1c 5.7-6.4, Fasting Glucose 100-125 or don't know
- A1c 6.5+, Fasting Glucose 125+
Currently Smoke*
- No, never smoked
- No, former smoker
- Yes
Physical Activity for 30 minutes per day*
- 5+ days per week
- 3-4 days per week
- 2 or fewer days per week
Fruits & Vegetables – 3 servings/day*
- 5+ days per week
- 3-4 days per week
- 2 or fewer days per week
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MORE INFORMATION

Contact us today for more information about the Blood Pressure Self-Monitoring Program.

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(231) 722-9622

(231) 525-2890

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