• American Stroke Association. A division of the American Heart Association.

  • STROKE RISK ASSESSMENT

  • DIRECTIONS:2.Enter a 1 on the blank line next to each checked box. 3.Add up your total for each vertical column.

    1.For each risk factor, select the box (higher risk or lower risk) that applies to you. Select only one box per risk factor.

  • RISK FACTORS

  • HIGHER RISK

  • LOWER RISK

  • Is your blood pressure greater than 120/80 mm/Hg? Have you been diagnosed with atrial fibrillation? Is your blood sugar greater than 100 mg/dL? Is your body mass index greater than 25 kg/m²? Is your diet high in saturated fat, trans fat, sweetened beverages, salt, excess calories**? Is your total blood cholesterol greater than 160 mg/dL? Have you been diagnosed with diabetes mellitus? Do you get less than 150 minutes of moderate to vigorous-intensity activity per week? Do you have a personal or family history of stroke, TIA or heart attack? Do you use tobacco or vape? TOTAL SCORE (add your points for each column)

    *Some stroke risk factors cannot be changed such as age, family history, race, gender, and prior stroke.**Excess calories means eating more than your body can burn off in a day.

  • Type a question

  • STROKE RISK ASSESSMENT RESULTS

    If you scored higher in the "higher risk" column or you are unsure of your risk, ask your health care professional about how you can reduce your risk. Stroke is largely preventable, treatable and beatable.

    Stroke is an EMERGENCY.F.A.S.T. Call 911 immediately if these signs are present: FaceArmSpeechTime to WeaknessCall 911 Difficulty Drooping

    Other stroke symptoms include sudden:

    Numbness or weakness of face, arm, or leg, especially on one side of the body Confusion, trouble speaking or understanding speech Trouble seeing in one or both eyes Trouble walking, dizziness, loss of balance or coordination

    Severe headache with no known cause

    By learning and sharing the F.A.S.T. warning signs, you can help defeat stroke. Learn more at stroke.org

    © Copyright 2022 American Heart Association, Inc., a 501(c3) not-for profit. All rights reserved. American Stroke Association is a registered trademark of the AHA. Unauthorized use prohibited. WF_84295 12/22

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