Date Of Birth
Please answer the following questions:
1. Are you 45 years old or older
2. Have you had one of the following:
Prior Myocardial InfarctionPrior Stroke (ischemic or hemorrhagic stroke)Symptomatic Peripheral Arterial Disease (PAD), or peripheral arterial revascularization procedure, or amputation due to atherosclerotic disease
If yes, please provide date of occurrence:
3. Is your BMI 27 kg/m² or greater?
4. What is your height?
5. What is your current weight?
6. Do you have any history or presence of Chronic Pancreatitis?
If yes, please provide date for must current episode:
7. Are you on dialysis?
8. Any history of malignant neoplasm within the last five years?
Type the code above:
After reviewing your answers, the study team will contact you to schedule a screening visit if you qualify. Thank you in advance for helping us advance science.