Are You at Risk for Heart Disease?

Find out with the Cedars-Sinai Cardiac Risk Test. This anonymous questionnaire will ask about lifestyle and health habits that affect your heart health. You'll receive an instant assessment of your risk for heart disease: low, moderate or high.

1. Sex: Male Female
2. Age:
3. Height: (feet)   (inches)
4. Weight:
5. Have you ever been told that you have diabetes?
6. Has a doctor or nurse ever told you that you have heart disease? Have you ever had a stroke, heart attack or undergone bypass surgery?
7. Has anyone in your immediate family, i.e. parents, brothers or sisters, had a heart attack or stroke before age 55?
8. If you know your blood pressure, enter the numbers here. If you do not know your actual blood pressure, has a doctor or nurse told you that it was high, normal or low?
9. What is your total cholesterol? If you do not know your actual cholesterol level, has a doctor or nurse told you that it was high, normal or low?
10. What is your HDL cholesterol (the "good" cholesterol)? If you do not know your actual HDL cholesterol level, has a doctor or nurse told you that it was high, normal or low?
11. Are you a smoker?
12. In a typical week, how many times do you work up a sweat performing physical exercise?
13. How often do you eat foods that are high in fiber, such as whole grain breads and cereals, fresh fruits and vegetables, beans or pasta?
14. How often do you eat fatty foods like red meat, whole milk, cheese or rich desserts?
15. How often do you feel yourself under serious stress or feel pressured, anxious, frazzled, tense?