Cardiovascular Disease Module
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| Q1: To lower your risk of developing heart disease or stroke, are you eating fewer high fat or high cholesterol foods? |
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| Q2: To lower your risk of developing heart disease or stroke, are you eating more fruits and vegetables? |
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| Q3: To lower your risk of developing heart disease or stroke, are you more physically active? |
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| Q4: Within the past 12 months, has a doctor, nurse, or other health professional told you to eat fewer high fat or high cholesterol foods? |
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| Q5: Within the past 12 months, has a doctor, nurse, or other health professional told you to eat more fruits and vegetables? |
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| Q6: Within the past 12 months, has a doctor, nurse, or other health professional told you to be more physically active? |
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| Q7: Has a doctor, nurse, or other health professional ever told you that you had a heart attack, also called a myocardial infarction? |
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| Q8: Has a doctor, nurse, or other health professional ever told you that you had angina or coronary heart disease? |
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| Q9: Has a doctor, nurse, or other health professional ever told you that you had a stroke? |
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| Q10: At what age did you have your first heart attack? |
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| Q11: At what age did you have your first stroke? |
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| Q12: After you left the hospital following your heart attack or stroke did you go to any kind of outpatient rehabilitation? This is sometimes called "rehab." |
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| Q12A: After you left the hospital following your heart attack, did you go to any kind of outpatient rehabilitation? |
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| Q12B: After you left the hospital following the stroke, did you go to any outpatient rehabilitation? |
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| Q13: Do you take aspirin daily or every other day? |
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| Q14: Do you have a health problem or condition that makes taking aspirin unsafe for you? |
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| Q15: Do you take aspirin to relieve pain? |
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| Q16: Do you take aspirin to reduce the chance of a heart attack? |
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| Q17: Do you take aspirin to reduce the chance of a stroke? |
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| Q18: Do you think pain or discomfort in the jaw, neck, or back are symptoms of a heart attack? |
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| Q19: Do you think feeling weak, lightheaded, or faint are symptoms of a heart attack? |
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| Q20: Do you think Chest pain or discomfort are symptoms of a heart attack? |
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| Q21: Do you think sudden trouble seeing in one or both eyes is a symptom of a heart attack? |
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| Q22: Do you think pain or discomfort in the arms or shoulders are symptoms of a heart attack? |
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| Q23: Do you think shortness of breath is a symptom of a heart attack? |
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| Q24: Do you think sudden confusion or trouble speaking are symptoms of a stroke? |
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| Q25: Do you think sudden numbness or weakness of face, arm or leg, especially on one side, are symptoms of a stroke? |
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| Q26: Do you think trouble seeing in one or both eyes is a symptom of a stroke? |
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| Q27: Do you think sudden chest pain or discomfort are symptoms of a stroke? |
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| Q28: Do you think sudden trouble walking, dizziness, or loss of balance are symptoms of a stroke? |
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| Q29: Do you think severe headache with no known cause is a symptom of a stroke? |
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| Q30: If you thought someone was having a heart attack or stroke, what is the first thing you would do? |
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