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| Are you a man over age 45 or a woman over age 55? |  |
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| Do you smoke? |  |
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| Do you live or work with people who smoke every day? |  |
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| Is your total cholesterol level high (200 mg/dL or higher)? |  |
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| Is your HDL ("good") cholesterol level low (less than 40 mg/dL)? |  |
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| Do you have high blood pressure? |  |
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| Do you get less than 30 total minutes of physical activity on most days? |  |
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| Are you 20 pounds or more overweight, or is your body mass index score 25 or more? |  |
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| Do you have diabetes or take medication to control your blood sugar? |  |
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| Do you have a family history of heart attack or stroke? |  |
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| Have you been told by a physician that you have carotid artery disease or peripheral arterial disease? |  |
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| Have you had a heart attack, stroke, or transient ischemic attack (TIA) before? |  |
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