Hhq-Gp-1 Healthy Heart Questionnaire - Urban Indian Heart Health Program Page 12
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15Healthy Heart Questionnaire (HHQ-GP-1)
12
61. How confident are you in filling out medical forms by yourself?
Extremely
Quite a bit
Somewhat
A little bit
Not at all
62. How often do you prefer that someone (like a family member or someone else) help you read
medical materials?
Always
Often
Sometimes
Rarely
Never
63. Which of the following numbers represents the lowest risk? For example, which would you
most like to hear from a doctor about your risk for a medical condition?
1 in 10 people
1 in 100 people
1 in 1000 people
Don’t Know
64. If the chance of getting a health condition is 20 out of 100 people, this would be the same as
having a what percent (%) chance of getting the condition?
2%
20%
200%
Don’t Know
65. A prescription says “Take one tablet by mouth every 6 hours.” If you take your first tablet at
7 a.m., when should you take your second tablet?
10 a.m.
12 p.m.
1 p.m.
6 p.m.
7 p.m.
66. Normal fasting blood sugar is 70-100. If your blood sugar today is 140, is your blood sugar
normal?
Yes
No
Don’t Know
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