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Check Your Brain Attack Risk

Check Your Brain Attack Risk

Age Less then 40 years Yes No
Gender Male Female
Alchoholism Yes No
Smoking Yes No
Physical Activities Yes No
Overweight Yes No
Family History of Stroke Yes No
Recurrent Headache Yes No
Heart Disease Yes No
Blood Pressure Yes No
High Blood Sugar (Diabeties Mellitus) Yes No
High Cholestrol (Increased Lipids) Yes No

Past History of Stroke Symptoms

(Tick if any one of the below mentioned symptoms have been experienced in the past)
Numbness on one side of the body or
Weakness on one side of the body or
Speech difficulty or
Giddiness Yes No