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Heart Disease is the leading cause of death in Ulster County and the nation. The Ulster County Department of Health, and its community partners, have formed a Heart Disease Prevention Team tasked with assessing resident's awareness of heart disease risk and prevention factors. We will combine the findings, along with other data and information, to help develop a Strategic Plan of Action designed to bring heart disease related fatalities down over time. Please do your part to help by taking a few moments to complete this short survey. It is 100% anonymous and it will go a long way toward helping us complete this important work - Thank you!

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* 1. Please select your age range, as applicable

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* 2. Please select your gender, as applicable

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* 3. Which of the following races/ethnicities do you identify with? (please check all that apply)

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* 4. What is the Zip Code where you live?

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* 5. Do you have health insurance?

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* 6. Do you have a regular primary care doctor/healthcare provider?

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* 7. When was the last time that you had a Primary Care or Annual Physical Exam visit?

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* 8. Have you ever been diagnosed with any form of heart disease? (If yes, please check all that apply)

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* 9. Have you ever been diagnosed with any of the following conditions? (If yes, please check all that apply)

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* 10. These are some of the risk factors associated with heart disease. (Please check all that may apply to you)

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* 11. These prevention factors are important to reducing the risk of heart disease. Please check all that are part of your regular wellness routine:

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* 12. How knowledgeable are you about heart disease, including the important ways that you can help prevent it and reduce your risk?

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* 13. Where would you be likely to go to seek information about heart health and heart disease? (please check all that apply)

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* 14. If there was a free, live heart health awareness/education event presented by expert healthcare and wellness professionals, in a community setting near you, where you could learn more about preventing and managing heart disease, ask questions and get free preventative screenings, would you be interested in attending?

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* 15. If you have heart disease, how do you manage it? (please check all that apply)

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* 16. Which of the following are the signs and symptoms of a heart attack? (please check all that apply)

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* 17. The correct answer to the previous question (#15) is "All of the Above". If you recognize any of the sign and symptoms of heart attack, the best course of action is to:

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* 18. If you think someone is having a heart attack, and after you or someone who's there calls 9-1-1, are you trained and capable of administering Cardio Pulmonary Resuscitation (CPR), until help arrives?

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