Are you male or female? Female Male
How old are you?
Have you had a heart attack? No Yes
How many of your family members have had heart attacks? None One More than one If one or more, how old was the youngest when they had a heart attack?
Are you overweight? No Yes
Do you have high blood pressure? No Yes
Do you have high cholesterol? No Yes
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Gretchen Lumsden Institute of Weight and Life Management 23 Avocet Island Quays Wannanup WA 6210 Phone: +61 (8) 9534 3110 Mobile: 0417973077