Thank you for taking the time to complete our Heart Health Survey. The survey is short and should only take
2-3 minutes out of your day.

By completing the survey you may enter our competition to win one of five Bio-Quinone Q10 starter packs, shown to help treat and prevent heart disease. To be in with the chance of winning,simply provide your name and email address in the first question below.

Thank you and good luck!
The MultiVits Team

*Please note, the competition closes on Friday 5th February 2016.

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* 1. If you would like to be entered into the competition to win xxxxx, please provide your name and email address below

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* 2. Which of the below do you believe is the leading cause of death in the UK?

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* 3. I feel I have sufficient knowledge of the risk of cardiovascular disease and what I can do to prevent it.

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* 4. I am concerned about my heart health.

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* 5. Which of the below are risk factors for cardiovascular disease? Tick all that apply.

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* 6. Are you currently taking statins?

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* 7. If you take statins, have you experienced any of the following side effects? Tick all that apply.

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* 8. Would the potential side effects of taking statins impact your decision to take them?

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* 9. Have you had your blood pressure checked in the last five years?

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* 10. Are you taking any natural supplements for heart health?

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