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Hello:
In the effort to provide participants effective services, please take a minute to answer these question.

Thank you,

Program Director
 
 
 
How often do you measure you blood pressure?
 
Daily
 
Weekly
 
Monthly
 
Annually
 
never
 
 
 
Are you able to measure your blood pressure on your own?
 
yes
 
no
 
maybe
 
 
 
Have you ever been to a doctor for a physical?
 
yes
 
no
 
do not remember
 
 
 
Do you know if you have high blood pressure?
 
Yes
 
No
 
Not Sure
 
 
 
Do you have anyone in your household with high blood pressure?
 
Yes
 
No
 
Not Sure
 
Live Alone
 
 
 
Do you know about High blood pressure 0r are you knowledgeable about high blood pressure?
 
Very knowledgeable
 
Some what knowledgeable
 
Limited knowledge
 
Never heard about this condition before
 
 
 
Do you know of the risk factors for high blood pressure?
 
Yes
 
No
 
Somewhat
 
 
 
Are you aware of the health complications of having high blood pressure?
 
Yes
 
No
 
Somewhat
 
 
 
Are you aware of your risk for high blood pressure?
 
Yes
 
No
 
Somewhat
 
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