Take the health check to see how Leap for Life is tailored to meet your individual needs! This assessment will help you determine your risk factors for cardiovascular disease. For the best results, be sure to answer each question below as accurately as you can. When you have completed the question, click on the submit button to display your results.

Blood Pressure:
[Please select] I have high blood pressure I have normal blood pressure I do not know if my blood pressure is normal or high
Don't know if your blood pressure is normal or high? Normal blood pressure is 120/80.
Are you currently taking blood pressure medication: [Please select] Yes No

Cholesterol:
[Please select] I have high cholesterol levels I have normal cholesterol levels I do not know if my cholesterol is normal or high
Don't know if your cholesterol is normal or high? Desirable total cholesterol is 200 or less.
Are you currently taking cholesterol medication: [Please select] Yes No

Tobacco:
[Please select] I use tobacco products (cigarettes, cigars, pipe, dip, snuff, chew tobacco, etc.) I don't use tobacco products I quit using tobacco products
If you quit using tobacco, what year did you quit:
Second hand smoke: [Please select] I am regularly exposed to second hand smoke I am NOT regularly exposed to second hand smoke

Diabetes:
[Please select] I have diabetes I do NOT have diabetes I do not know if I have diabetes

Physical Activity:
[Please select] I currently exercise less than 3 times/week for 20 minutes each time I currently exercise 3 times/week for 20 minutes each time I currently exercise more than 3 times/week for 20 minutes each time

What is your current weight in pounds: pounds

What is your current height: 3 feet 4 feet 5 feet 6 feet 7 feet feet 1 inch 2 inches 3 inches 4 inches 5 inches 6 inches 7 inches 8 inches 9 inches 10 inches 11 inches inches