Hypertension Pre-Evaluation Questionnaire
The questionnaire is aimed at evaluating your baseline knowledge concerning the risks complications and prevention of hypertension. We are requesting you to participate in this implementation. Do you agree?
Yes
No
Age group
18-29
30-39
40-49
50-59
60-69
70>>
Education level
Unemployment
Peasant
Business man
Civil servant
Education level
Uneducated
Primary
Secondary
Tertiary
University
Family History of hypertension
Yes
No
I don't know
Have you ever heard of hypertension
Yes
No
If yes, what is your source of information
Health care provider
Media
Family and friends
Other
Baseline blood pressure
mmhg
General Knowledge about Hypertension (Yes/No Responses)Please answer "Yes" or "No" to the following statements.
A blood pressure reading of 140 over 90 or higher is considered high blood pressure.
High blood pressure is especially dangerous because it often has no warning signs or symptoms
Once high blood pressure develops, it usually lasts a lifetime.
Hypertension is caused by overactivity.
Hypertension is caused by high-level stress/tension.
Hypertension is a lifelong disease.
Hypertension is caused by a nervous condition
Risks Factors for Hypertension and Symptoms of Hyperten
Family History
Age
Obesity
Physical inactivity
Unhealthy diet
Excessive Alcohol Consumption
High Stress levels
Smoking
Sleep apnea
Chronic kidney disease
Signs and symptoms of hypertension (yes/ no)
Headache
Nose bleeds
Palpitations
Shortness of breath
None
Others
Knowledge of Hypertension Complications (Yes/No Responses) Please answer "Yes" or "No" to the following statements:
Hypertension can cause heart disease.
Hypertension can cause cancer.
Hypertension can cause myocardial infarction
Hypertension can cause osteoarthritis.
Hypertension can cause diabetes.
Hypertension can cause atherosclerosis.
Renal disease
Stroke
Pulmonary disease
Allergy
Impaired vision
Thyrotoxicosis
Liver disease
Increasing salt and sugar intake is beneficial for health.
Disagree
1
2
3
4
Agree
5
1 is Disagree , 5 is Agree
Taking treatment regularly can make hypertension a chronic disease.
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Lowering high blood pressure is beneficial for overall health.
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Hypertension is dangerous to your health
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Prevention and management of hypertension
Regular exercise
Maintaining health diet
Limiting salt intake
Adhering to medication
Weight management
Regular blood pressure monitoring g
Smoking cessation
Submit
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