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Heart Failure Diagnostics Survey
1.
Do you have any form of cardiovascular (heart) disease, diabetes, hypertension and/or obesity?
Yes - Cadiovascular
Yes - Diabetes
Yes - Hypertension
Yes - Obesity
No
Other (please specify)
2.
Do you have a family history of heart disease?
Yes
No
3.
Are you a smoker?
Yes
No
4.
What is your age group?
Under 18
18 - 29
30 - 39
40 - 49
50 - 59
60 - 69
70 - 79
80 and over
5.
Are you aware of a possible risk of developing heart failure?
Yes
No
6.
Are you worried that you might develop heart failure at any point of your life?
Yes
No
7.
Do you have any of the following symptoms?
Fatigue
Breathlessness
Swollen legs
None of the above
Other (please specify)
8.
Would you use a salivary heart failure home testing kit, if it was available to buy at your local pharmacy?
Yes
No
9.
How often would you use this heart failure home testing kit?
Every month
Every 2-3 months
Every 4-5 months
Every 6 months
Every year
Every 2-5 years
10.
What is your country of residence?
United Kingdom
Other (please specify)
Current Progress,
0 of 10 answered