| |
Yes |
No |
| I am a smoker |
|
|
| I am over 50 years of age |
|
|
| There is history of heart disease in the family |
|
|
| I am overweight |
|
|
| I have high blood pressure |
|
|
| I have high blood fats |
|
|
| I have diabetes or pre-diabetes |
|
|
| I am inflamed (take the test) |
|
|
| I do not exercise |
|
|
| I have periodontal disease |
|
|
If you have said yes to 3 or more please contact us