Take the Test Now . . .

Fact: Nearly half of those who die from heart attacks each year never showed prior symptoms of heart disease. Right now, millions of people over age 40 are suffering from heart disease and do not even know it.

Don't be caught off guard. Know your risk now.

This test is a simple, easy-to-complete, online test that will help you understand your heart attack risk factors. When you take the Basic Heart Test — it takes just 2 minutes to complete — you'll discover:

• Where you score on our unique heart disease risk scale
• Which of your lifestyle habits really protect your heart
• The true role your height and weight play in heart attack risk
• Plus much more!

Discover your risk for heart disease now.

Instructions: The Basic Heart Test is easy to do. Just complete the following questionnaire and you'll receive your results instantly. Plus, you'll receive heart healthy tips for preventing — and even reversing — heart disease.

Your Gender: Male Female

Your Birth Year: 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Your Height: 4 feet 5 feet 6 feet 7 feet 0 inch 1 inch 2 inches 3 inches 4 inches 5 inches 6 inches 7 inches 8 inches 9 inches 10 inches 11 inches

Your Weight:

Do you have high blood pressure or are you taking a blood pressure medication? Yes No I Don't Know

What are your smoking habits? I currently smoke I have never smoked I used to smoke, but have quit

Do you have high cholesterol or are taking a cholesterol lowering medication? Yes No I Don't Know

Do you have diabetes? Yes, I was diagnosed as an adult (over 21 years old) Yes, I was diagnosed prior to age 21 No

Have you ever had a heart attack or stroke? Yes No

Have you ever had any heart procedures, such as stents, balloon angioplasty or bypass surgery? Yes No

Has anyone in your immediate family (father, mother, sibling) had a heart attack? Yes No

How would you describe your stress level? I have minimal or low stress I have a moderate level of stress I have a high level of stress

How would you describe your level of physical activity? Very Active Moderately Active (about 30 minutes of activity 3 days per week) Not Active

I would best describe my alcohol usage as the following:
Light Drinker (less than 1 drink per week)
Moderate Drinker (1-2 drinks per day)
Heavy Drinker (3 or more drinks per day)
I don't drink

Do you follow a low fat, low carb or vegetarian diet? Yes No

Do you eat red meat, packaged foods, fast food, or fried food 3 or more times per week? Yes No

Do you eat fish 3 or more times per week or take a daily fish oil supplement? Yes No

Do you currently have any periodontal diseases such as gingivitis? Yes No

Do you take aspirin daily? Yes No

Do you suffer from joint pain or arthritis? Yes No

Do you have any of the following auto-immune diseases? (check all that apply): Psoriasis Eczema I do not suffer from any of the above conditions

Do you have asthma? Yes No

Do you suffer regular digestion problems including acid reflux? Yes No

Do you snore during sleep?
I snore throughout the night
I occasionally snore
I snore infrequently
I do not snore

Disclaimer: You must be at least 18 years of age to take The Basic Heart Test. All information and results from the Basic Heart Test are for information purposes only. The information is not specific medical advice for any individual. The results received from taking the Basic Heart Test should not substitute medical advice from a health professional. If you have a heart problem or heart disease, speak to your doctor or a health professional immediately about your risk.