Stroke Screening Questionnaire (Stroke Risk Scorecard)
To screen for stroke risks, each box that applies to you equals to 1 point. Total your score at the bottom of each column and compare with the risk levels in the interpretation part.
1
Blood Pressure (mmHg)
2
Atrial Fibrillation
3
Smoking
4
Cholesterol Level (mg/dL)
5
Diabetes
6
Exercise
7
Diet and Weight
8
Stroke in the family
Your responses are anonymous and will be kept confidential.
This questionnaire does not collect personally identifiable information. By clicking to submit your responses, you agree to the terms of use.
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