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Sudden Cardiac Death
1. Age
*
2. Degree of Education
*
Middle School
High School
College
Grad
3. Gender
*
Male
Female
4. Which of the following ethnicities would you classify yourself as:
*
Asian or Pacific Islander
South Asian
African American
Caucasian/White
Middle Eastern
Latino(a)/Hispanic
Other
5. An AED is a:
*
type of computer
lifesaving device
pacemaker
drug
device for calling 911
6. Sudden Cardiac Death occurs when:
*
you have a stroke
you can't breathe
you die suddenly
you have a heart attack
your heart rhythm falters
7. When an athlete gets hit in the chest and dies, what is the cause?
*
His/Her heart rhythm changes
He/She can't breathe
He/She suffers from internal bleeding
His/Her lungs are filled with fluid
8. Why do people get Heart Disease?
*
Unhealthy diet
Present at birth
Because they ruptured their spleen
Because they have bad lungs
A and B
9. Definition of Sudden Cardiac Death is:
*
the same definition as a heart attack
a result of cardiac arrest, where heart rhythms are too fast
the sudden, abrupt loss of heart function
B and C
All of the above
10. Sudden Cardiac Death can affect:
*
men
women
children
diabetics
All of the above
11. Have you heard or read about a sudden death due to Heart Disease?
*
Maybe
Yes
No
I don't know
12. Have you ever heard or read about a child or adolescent dying suddenly of Heart Disease?
*
Maybe
Yes
No
I don't know
13. How many people in America suffer from Sudden Cardiac Death?
*
300-400
3,000-4,000
30,000-40,000
300,000-400,000
3 million-4 million
14. Sudden Cardiac Arrest occurs before the victim dies of Sudden Cardiac death. For every minute in delay in resuscitation, how much does the survival rate decrease?
*
1% per minute
5% per minute
10% per minute
20% per minute
50% per minute
15. Where did you hear about this survey?
*
Fatwallet.com
Slickdeals.net
Other Forum/Message Board
Search Engine
Email List
Direct email from researcher
Facebook
Myspace
Classroom Survey. (if selected, which school?)
16. Address for Free Eye Test Kit Raffle
17. What is your country of origin?
*
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