Stroke Risk Assessment

Stroke Risk Assessment

This simple questionnaire can help you determine if you might be at risk for a stroke.

Upon submission of the form, your result will indicate if you should seek additional medical advice from your physician.



What is your blood pressure?


Do you experience an irregular heartbeat?


Are you a smoker?


What is your cholesterol level?


Do you have diabetes?


Are you physically active?


What is your weight?


Does your family have a history of strokes?