Respirator Evaluation Questionnaire - Part A Section 2, Question 5

Questions 5 and 6 focus on the cardiovascular and heart problems. The specific language for Question 5 is as follows:

5. Have you ever had any of the following cardiovascular or heart problems?
   1. Heart attack: Yes/No
   2. Stroke: Yes/No
   3. Angina: Yes/No
   4. Heart failure: Yes/No
   5. Swelling in your legs or feet (not caused by walking): Yes/No
   6. Heart arrhythmia (heart beating irregularly): Yes/No
   7. High blood pressure: Yes/No
   8. Any other heart problem that you've been told about: Yes/No

To learn more about HAZWOPER visit our HAZWOPER 40 Hour Online Training web page.