​A1 - Q1 CVD Sympyoms Screen

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Q1: Symptoms of CVD

​Level Participant

Do you experience any of the following SYMPTOMS?

Chest Discomfort (with or without exertion)
Unreasonable Breathlessness
Dizziness, Fainting, Blackouts
Ankle Swelling
Forceful, Rapid, or Irregular Heart Beats
Burning or Cramping in Calves when Walking

No

Yes

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Notes:

• X