Male Questionnaire
Page 5(d) of 9

You are on page 5d of 9
Report by The Analyst™
Click to see sample report

Click here if you have already started the questionnaire and would like to continue.

Click here to start the questionnaire and receive your own detailed health analysis.

This section is about specific confirmed heart problems.


Have you suffered a stroke-type event?
  • No / don't know
  • Mini-stroke (TIA or brief disturbance)
  • More than one mini-stroke
  • An actual stroke
  • A severe stroke or more than one


Have you experienced Angina?
  • Don't know
  • No / angina ruled out
  • Past episode(s) now resolved
  • Current minor problem
  • Current major problem


Do you suffer from Congestive Heart Failure?
  • No / don't know
  • Moderately
  • Severely


Have you already suffered Heart Attack(s)?
  • Don't know
  • No
  • Yes, mild one
  • Yes, a severe one
  • Yes, more than one


Have you been diagnosed with Atherosclerosis (hardening of the arteries)?
  • Never had it / don't know
  • Probably had it/minor symptoms now resolved
  • Significant symptoms now resolved
  • Current problem
  • Current major problem


Have you had an enlarged artery called an Aneurysm or experienced a ruptured Aneurysm?
  • Don't know
  • No
  • Possible enlargement being watched for progression
  • Yes, may require surgery
  • Yes, ruptured or required surgery


Have you been diagnosed with Vasculitis? This is inflammation of blood vessel(s).
  • Don't know
  • No
  • Yes, in the past, but it is not a current problem
  • Yes, it is a minor recurring problem
  • Yes, it is a serious recurring problem


Have you been diagnosed with Phlebitis or Thrombophlebitis? This is inflammation of a vein, usually in the leg(s), sometimes caused by a blood clot.
  • Don't know
  • No, I do not have this condition
  • Yes, but in the past only - not a current problem
  • Yes, superficial phlebitis
  • Yes, deep vein - thrombophlebitis


Has it been confirmed by a doctor that you have an Enlarged Heart?
  • Don't know
  • No, it is definitely not enlarged
  • Mildly enlarged / doctor not concerned
  • Moderately enlarged
  • Severely enlarged / doctor is very concerned


Have you been diagnosed with Mitral Valve Prolapse?
  • No / don't know
  • Yes
  • Yes, severe


Have you been told that you have a Heart Murmur? This is an extra or unusual sound heard during a heartbeat.
  • Don't know
  • I was tested, but no murmur was detected
  • Detectable, but minor
  • Easily detected
  • Serious / pronounced


Have you been diagnosed with Cardiomyopathy? This is a potentially serious disease in which the heart muscle becomes weakened or enlarged and the heart is often dilated.
  • Don't know
  • No
  • Yes, but the condition is currently mild
  • Yes, condition is concerning but not advanced
  • Yes, I am close to heart failure


Have you been diagnosed with Myocarditis?
  • Don't know
  • No, there is no heart inflammation
  • Yes, but it is now resolved
  • Yes, there is mild inflammation
  • Yes, it is serious / chronic inflammation