Stroke Awareness Survey

This survey provided by the American Stroke Association may help you determine if you are at risk for stroke. If you check two or more, please see a health care professional and determine what you can do to lower your risk.

Age

___ You are a man over 45 or a woman over 55 years old.

Family history

___ Your father or brother had a heart attack before age 55 or your mother or sister had one before age 65.

Medical history

___ You have coronary artery disease or you have had a heart attack.

___ You have had a stroke.

___ You have an abnormal heartbeat.

Tobacco smoke

___ You smoke, or live or work with people who smoke every day.

Total cholesterol and HDL cholesterol

___ Your total cholester is 240 md/dL or higher.

___ Your HDL (“good”) cholesterol level is less than 40 mg/dL if you’re a man or less than 50 mg/dL if you’re a woman.

___ You don’t know your total cholesterol or HDL levels.

Blood pressure

___ Your blood pressure is 140/90 mm Hg or higher, or you’ve been told that your blood pressure is too high.

___ You don’t know what your blood pressure is.

Physical inactivity

___ You don’t accumulate at least 30 minutes of physical activity on most days of the week.

Access body weight

___ You are 20 pounds or more overweight.

Diabetes

___ You have diabetes or take medication to control you blood sugar.