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Home > Health Advisor > Heart Health > Risk Assessment Tool

Assess Your Heart Health with
Our Risk Assessment Tool

Get started with the form below

Heart Health Assessment

Complete the following assessment by checking the box next to the questions that apply to you. If the question doesn't apply to you, leave the checkbox blank. When finished, press the submit button for a free, detailed Heart Health risk summary, customized action plan, and coupons for great products.

Your Name:

AGE & SEX

Age:

Gender:

For Women: I am a woman who has passed menopause or has her ovaries removed

FAMILY HISTORY

My mother, father, sister or brother had a heart attack before the age of 55

My mother, father, sister, brother, or grandparent had a stroke

BLOOD PRESSURE

I know my blood pressure, and it is: / mm Hg

I don't know what my blood pressure is (Use an in-store Rexall Blood Pressure Machine to find out!)

TOBACCO SMOKE

I do NOT smoke cigarettes or tobacco products

I do smoke cigarettes or tobacco products and am:

PHYSICAL ACTIVITY

I get MORE than a total of 30 min of phsyical activity most days

I get LESS than a total of 30 min of phsyical activity most days and am:

TOTAL CHOLESTEROL

My total cholesterol is 6.2 mmol/L or higher

I don't know my cholesterol level

WEIGHT

I frequently eat fast food / high fat comfort food

I am 9.1kg (20 lbs) overweight, have a BMI above 25, and am:

DIABETES

I have been diagnosed with diabetes

I take medicine to control my blood sugar

HEART DISEASE & STROKE

I have a history of heart disease, atrial fibrillation or other heart conditions

I have had a heart attack

I have been told I have a carotid artery disease

I have had a stroke or TIA (transient ischemic attack)

I have a disease of the leg arteries, a high red blood cell count or sickle cell anemia

DOCTOR

I see my doctor:

STRESS LEVEL

I live and/or work in a high stress environment

ALCOHOL

I consume more than 2 alcoholic beverages per day

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Assess Your Heart Health withOur Risk Assessment Tool