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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)

> 140/90 or unknown
120 - 139/80 - 89
< 120/80
2

Atrial Fibrillation

Irregular heartbeat
I do not know
Regular heartbeat
3

Smoking

Smoker
Trying to quit
Nonsmoker
4

Cholesterol Level (mg/dL)

> 240 or unknown
200 - 239
< 200
5

Diabetes

Yes
Borderline
No
6

Exercise

Couch potato
Some exercise (1 - 2 times/week)
Regular exercise (> 5 times/week)
7

Diet and Weight

Overweight (BMI > 25)
Slightly overweight (BMI 23.0 - 24.9)
Healthy weight (BMI 18.5 - 22.9)
8

Stroke in the family

Yes
Not sure
No
Reference: