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cardiovascular diseases
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Have you ever been diagnosed with cardiovascular disease (e.g., heart attack, stroke, high blood pressure, or coronary artery disease) by a healthcare professional?"
Select one or more answers
yes
no
I don't know
2
2. Has anyone in your immediate family been diagnosed with cardiovascular disease?
Select one or more answers
Yes
No
Not Sure
3
Do you consider yourself at risk for cardiovascular disease?
Select one or more answers
Yes
No
Unsure
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