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Community Stroke Risk Screening Request Name of Event: Date of Event: Time of Event: Estimated attendance: Focus of Event: Location of Event: Indoors Outdoors: Tent provided q Yes q No Setup Time:
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How to fill out community stroke risk screening

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How to fill out community stroke risk screening:

01
Start by gathering the necessary forms or questionnaires provided by the community stroke risk screening program.
02
Read and understand the instructions or guidelines provided with the forms.
03
Begin by providing your personal information such as name, age, gender, and contact details.
04
Follow the instructions to fill in your medical history, including any past stroke events, heart conditions, and family history of strokes.
05
Answer questions related to your lifestyle choices such as smoking habits, alcohol consumption, and physical activity levels.
06
Provide information about any medications you are currently taking or any allergies you may have.
07
Answer questions related to your diet, including the types of food you usually consume and your eating patterns.
08
If applicable, fill out sections regarding any existing medical conditions such as diabetes, high blood pressure, or cholesterol.
09
Carefully review your answers to ensure accuracy and completeness.
10
Submit the completed form as instructed by the community stroke risk screening program.

Who needs community stroke risk screening:

01
Individuals who have a family history of strokes or have had a stroke themselves in the past.
02
People with certain medical conditions such as high blood pressure, diabetes, or heart diseases.
03
Individuals aged 55 and above, as the risk of stroke increases with age.
04
Those who lead unhealthy lifestyles, such as smoking, excessive alcohol consumption, or lack of physical activity.
05
Individuals with obesity or those who have a poor diet.
06
People with certain risk factors such as high cholesterol levels or a history of transient ischemic attacks (mini-strokes).
07
Those who have undergone certain medical procedures like carotid artery surgery or heart surgery.
08
Individuals with a history of blood clots or certain autoimmune diseases.
09
People with conditions that affect blood clotting, such as sickle cell disease or atrial fibrillation.
10
Those who are concerned about their stroke risk or wish to assess their current health condition.
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Community stroke risk screening is a process of identifying individuals in a community who are at risk of having a stroke.
Healthcare providers, community organizations, and public health agencies are typically required to conduct and file community stroke risk screenings.
Community stroke risk screening forms can be filled out by gathering information about an individual's medical history, lifestyle habits, and risk factors for stroke.
The purpose of community stroke risk screening is to identify individuals who are at risk of having a stroke and provide them with necessary interventions to prevent stroke.
Information such as age, gender, medical history, lifestyle habits, blood pressure, cholesterol levels, and family history of stroke must be reported on community stroke risk screening forms.
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