Futura

Know Your Risk

By taking a moment to answer the questions below, you can get a very good idea of your risk for common vascular diseases and a recommendation for the types of vascular screenings that you may require. Completing the questions provides recommendations only for screenings that are appropriate. No personal information is collected, saved or shared. Clicking “Get Results’ will calculate your potential risks and advise you of the next steps, if necessary.

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What is your age?

<50 50-54 55-59 60+

Do you have high blood pressure (hypertension) or are you taking any medications to control your blood pressure?

Yes No I Don't Know

Are you a current or past smoker?

Yes No

Do you have high blood cholesterol levels or are you taking any medications for cholesterol?

Yes No I Don't Know

Do you have diabetes?

Yes Borderline No

Have you ever had a stroke, TIA (mini-stroke) or heart attack?

Yes No

Are you overweight?

Yes Slightly No

Do you exercise?

Yes Sometimes No

Do you have any heart disease?

Yes No

Do you have a family history of heart disease?

Yes No I Don't Know

Do you have a family history of stroke?

Yes No I Don't Know

Do you have a family history of abdominal aortic aneurysm (AAA)?

Yes No I Don't Know

Do you have a family history of peripheral arterial disease (PAD)?

Yes No I Don't Know

Important Notice

This questionnaire does not constitute a complete medical exam or diagnosis and it is solely the participant’s responsibility to seek any appropriate follow-up medical treatment as indicated by the screening recommendations.