My Heart Survey V2 What is your current age?(Required) Under 40 40-54 55-70 70+ What is your gender?(Required) Male Female Prefer not to say Have you been diagnosed with any of these conditions? (Select all that apply)(Required) Cardiovascular Disease (including heart attack or stroke) Arthritis Diabetes Mental health disorders (depression, anxiety, etc.) Obesity Other ~ (Hormone imbalance, sleep apnea, etc.) None Have you had a cardiac event?(Required) Heart attack Stroke / aneurysm Other No What would you describe as your biggest health challenge?(Required) I’m having a hard time losing weight It’s really difficult to change my eating habits I’m having a hard time lowering my blood pressure and cholesterol numbers I’m struggling to manage another health condition (diabetes, arthritis, sleep apnea, etc.) None of the above Are you focused on trying to manage your weight right now?(Required) Yes No If so, what treatment options are you interested in exploring?(Required) Medications Behavior change program Nutrition + exercise support Bariatric surgery None of the above Δ
