Check NCD Risk Factors

01

Basic information

Age (years) Sex Weight (kg) Height (cm) Waist circumference (cm) — optional

02

Measurements you have

Systolic BP — optional Diastolic BP — optional

Does a parent or close sibling have hypertension, diabetes or heart disease? No Yes

Have you been told by a clinician that you have hypertension? No Yes

Have you been told that you have diabetes? No Yes

Have you been told that your cholesterol is high? No Yes

Have you ever been told your blood sugar is high or that you have prediabetes? No Yes

03

Lifestyle and history

Do you currently use tobacco? No Yes

Is your alcohol use often heavy or concerning to you? No Yes

Do you often add salt at the table or eat very salty foods? No Yes

Do you drink sugary soft drinks/juice or sweetened drinks most days? No Yes

Minutes of moderate physical activity per week Fruit/vegetable servings per day Hours spent mostly sitting per day Hours of sleep per night — optional

04

Environment, medicines and exposure

Are you regularly exposed to cooking-fuel smoke, second-hand tobacco smoke or indoor smoke? No Yes

Does your work regularly involve dust, fumes or chemicals? No Yes

Do you use pain medicines such as ibuprofen/diclofenac frequently for long periods without review? No Yes

Understand your NCD risk factors

Basic information

Measurements you have

Lifestyle and history

Environment, medicines and exposure