Health Outcome

What range does your blood pressure usually fall into?

High

Normal

Low

Not Sure

What kind of health practices do you do to help maintain a normal blood pressure level?

Do you know if anyone in your family such as a parent, brother or sister, grand parent have died of high blood pressure complications for example stroke, heart failure, kidney disease.

How Often do you exercise?

How much salt or sodium do you consume daily ?

No salt on meals as possible

Use only low sodium products

I like salt on my meals for taste

I am a light salt user

Are you a healthy eater?

Yes

No

Sometimes

Do you eat fruits and vegetables for snacks, with meals, or lunch?

Yes

Never

Do not like them

When possible

What would you like to change about your health?

Do you feel like you are managing your blood pressure safely ?

Yes

No

Need Improvements

Not Sure

When I measure my blood pressure the readings or measurement falls between the following: Pick only one category