Preventive Cardiovascular Nurses Association

PCNA Login



Forgot Password?

Thank you for sharing your feedback about the Blood Pressure: How do you measure up? brochure. The Preventive Cardiovascular Nurses Association hopes that this brochure helps you to work with your doctor or nurse to reach your blood pressure goals. Please answer the few questions below to let us know how we did in giving you valuable, useful information.

About you
First Name:
Last Name:
Email:
Your mailing address
Address 1:
Address 2:
City:
Zip:
 

PCNA does not sell address/email information to any outside vendor.

Do you see a doctor or nurse for high blood pressure or heart-related medical problems? (may include heart disease, heart failure, stroke, heart attack)

Yes
No, and I don't have plans to do so
No, but I will make an appointment soon
I have in the past but don't currently

After reading this brochure, do you feel that you are better able to manage your blood pressure?

Yes
No
Unsure

If you have high blood pressure, what is the most difficult lifestyle change that you have had to make in order to lower your blood pressure?

Measuring my blood pressure at home
Exercising 30-60 minutes most days of the week
Reaching a healthy weight
Eating a healthier diet
Taking my medications as prescribed
I haven't made any changes to my lifestyle
I haven't had any problems making these changes

Do you measure your blood pressure at home?

Yes
No
I have in the past, but do not currently
I am going to talk with my doctor or nurse about starting to measure my blood pressure at home

If you measure your blood pressure at home, did you learn anything new about the right way to measure your blood pressure at home after reading this brochure?

Yes
No
Unsure
I don't measure my blood pressure at home

Did the quizzes help you to remember the information included in the brochure?

Yes
No
Unsure

How did you receive this brochure?

My doctor or nurse gave it to me
A friend or family member gave it to me
I ordered it by telephone
I ordered it by email
I downloaded it from the PCNA website

Will you share this brochure with your friends and family who have or are at risk for high blood pressure?

Yes
No
Unsure

What other healthcare topics would you like to receive additional information about?

Alcohol use
Antiplatelet therapy (aspirin, clopidogril/Plavix®, prasugrel/Effient®, ticlopidine/Ticlid®)
Atherosclerosis (plaque in arteries)
Blood clots (antithrombosis/anticoagulation)
Depression or other mental illness
Diabetes
Dyslipidemia (cholesterol, triglycerides, HDL [good] and LDL [bad] cholesterol)
Heart failure (too much fluid in the body or stiffness of the heart)
Obesity/weight loss
Sexual problems and heart disease
Sleep problems
Quitting smoking
Stroke prevention
Vascular disease
Vitamins, supplements, or alternative medicine
Other:

Please click next to submit your feedback