No nicotine or tobacco use in the past:
13-35 months
Blood pressure not exceeding:
150/95 for ages 18-69
155/90 for ages 70+
History of Hypertension:
Well controlled with 3 or fewer medications
Cholesterol between:
140 to 325
Cholesterol/HDL ratio not exceeding:
7.0 for ages 18-69
8.0 for ages 70+
If applicable, elevated cholesterol is:
Well Controlled with treatment
History of heart disease:
No history
History of diabetes:
No history
History of Cancer:
No history
History of Drug or Alcohol Abuse:
None for 6+ years
Family history of heart disease and/or cancer:
2 parents/siblings died from cancer or heart disease prior to age 60
Moving violations while driving:
4 or less in last 3 years
Driving under the influence (DUI) convictions:
None in the last 3 years
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