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  • Do you have high blood pressure?

    Please fill out this survey so we can collect data that will allow us to better serve patients who may experience high blood pressure.
  • Have you ever been told you have high blood pressure or hypertension?
  • Have you been prescribed medicine for high blood pressure?
  • If yes, how many times do you estimate that you forget to take or miss your medication per week?
  • Do you monitor your blood pressure yourself at home frequently?
  • Do you go to the doctor for regular blood pressure checks?
  • Have you been eating a healthy, low salt diet that could help you reduce your blood pressure?
  • Do you exercise regularly - at least 3 days a week of moderate to strenuous exercise?
  • Do you feel like you have a manageable level of stress in your life?
  • Was your blood pressure elevated at your last visit?
  • If yes, did your care team re-check your blood pressure?
  • Do you feel like you have the information you need to manage your blood pressure?
  • Have you been educated on how to manage your blood pressure?
  • Were you scheduled for a follow up visit with your provider within 8 weeks if your blood pressure was high?
  • Do you identify with any of the following races/ethnicities
  • What is your age range
  • Should be Empty: