Stroke Risk Assessment

thumbnail of the Stroke Risk Assessment list of questions and answer fields

Download the printable assessment: English (PDF) | Español (PDF)

Directions:

  1. For each risk factor, select the box (higher risk or lower risk) that applies to you. Select only one box per risk factor.
  2. Enter a 1 on the blank line next to each checked box.
  3. Add up your total for each vertical column.
Risk Factors* Higher Risk Lower Risk
Is your blood pressure greater than 120/80mm/Hg? Yes or unknown No
Have you been diagnosed with atrial fibrillation? Yes or unknown No
Is your blood sugar greater than 100 mg/dL? Yes or unknown No
Is your body mass index greater than 25kg/m2? Yes or unknown No
Is your diet high in saturated fat, trans fat, sweetened beverages, salt, excess calories**? Yes or unknown No
Is your total blood cholesterol greater than 160mg/dL? Yes or unknown No
Have you been diagnosed with diabetes mellitus? Yes or unknown No
Do you get less than 150 minutes of moderate to vigorous-intensity activity per week? Yes or unknown No
Do you have a personal or family history of stroke, TIA or heart attack? Yes or unknown No
Do you use tobacco or vape? Yes or unknown No
     
TOTAL SCORE (add your points for each column)    

 

*Some stroke risk factors cannot be changed such as age, family history, race, gender, and prior stroke.
**Excess calories means eating more than your body can burn off in a day.

 

 

Stroke Risk Assessment Results

If you scored higher in the “higher risk” column or you are unsure of your risk, ask your health care professional about how you can reduce your risk. Stroke is largely preventable, treatable and beatable.

Stroke is an EMERGENCY. Call 911 immediately if these signs are present:

F = Face Drooping
A = Arm Weakness
S = Speech Difficulty
T = Time to call 911

Other stroke symptoms include sudden:

  • Numbness or weakness of face, arm, or leg, especially on one side of the body
  • Confusion, trouble speaking or understanding speech
  • Trouble seeing in one or both eyes
  • Trouble walking, dizziness, loss of balance or coordination
  • Severe headache with no known cause

By learning and sharing the F.A.S.T. warning signs, you can help defeat stroke.

Learn more at stroke.org.

© Copyright 2022 American Heart Association, Inc., a 501(c)(3) not-for-profit. All rights reserved. American Stroke Association is a registered trademark of the AHA. Unauthorized use prohibited.

 

Last Reviewed: Oct 9, 2023