1) Have you had a heart attack? *

2) Have you had any of the following complications of heart disease? *

3) Are you considering having a heart stent or bypass operation? *

4) Do you have a problem with cholesterol? *

5) Are you taking any of these medications for your heart? *

6) Are you taking supplements for your heart? *

7) Are any of these laboratory blood tests abnormal? *

8) Have you taken any of the following tests of heart function? *

9) Do you have any of these disorders that predispose to heart attacks? *

10) Are you interested in lifestyle management as a tool to improve your heart condition? *

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