FitToTravel cardiac assessment tool

Please answer the questions below as fully as possible and then press the Assess risk button.

1. Do you suffer from any of the following conditions:
Angina	Yes No
Diabetes	Yes No
High blood pressure	Yes No
High cholesterol	Yes No
2. Current condition.
Is your heart condition well controlled?	Yes No
Are you currently seeing or waiting to see a specialist for your heart?	Yes No
How many angina attacks do you suffer in an average week?
How many different medications are you taking for your heart?
3. Have you had a heart attack in the past?
	Yes No
4. Have any of your close family ever suffered from heart problems?
	Yes No
5. Lifestyle questions.
Do you smoke?	Yes No
What is your height?	metres
What is your weight?	kgs