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| | | | Do you have high blood pressure? |  |
| | Do you smoke? |  |
| | Do you have high cholesterol? |  |
| | Do you consume an excessive amount of alcohol? |  |
| | Do you follow a poor diet? |  |
| | Do you have heart disease? |  |
| | Do you exercise regularly? |  |
| | Are you obese? |  |
| | Do you have a family history of peripheral arterial disease? |  |
| | Are you over the age of 65? |  |
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