Do you smoke? (Required) Select An Answer Current smoker
Ex-smoker
Never smoked
Do you know your blood pressure? (Required) Select An Answer Yes
No
We'll use a national average for your results.
Blood pressure test results are shown as two numbers, for example 120/70.
Do you have high cholesterol? (Required) Select An Answer Yes
No
I don't know
We'll use a national average for your results.
Enter your cholesterol ratio here Note: you must enter your cholesterol ratio NOT your total cholesterol. This will be a number rather than a measure of mmol/L. If you don’t know or you’re not sure leave this empty.
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Medical conditions
Tick the boxes that apply to you.
Tick the box if a doctor has said you have diabetes (Type 1 or Type 2).
Tick the box if you have a close relative (mum, dad, sister, brother) who was taken to hospital because of a heart attack or stroke when they were under the age of 50.
Tick the box if a doctor has said you have atrial fibrillation (a type of irregular heartbeat).
Tick the box if a doctor has given you medicine to help lower your blood pressure.
Tick the box if a doctor has given you medicine to help lower your cholesterol.
Types of blood thinning medication include aspirin and warfarin.
Please choose an answer. Select ‘None of the above’ if not applicable.
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Estimate my heart age
