16 Participants’ Blood Pressure Readings No. Systolic Diastolic Time Optional Responses Comments Readings Readings Age Gender Zip code Has participant ever If yes, what year was the Check only - if referred to been diagnosed last diagnosis? Healthcare Provider with hypertension? 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
16 Participants’ Blood Pressure Readings No. Systolic Readings Diastolic Readings Time Optional Responses Comments Age Gender Zip code Has participant ever been diagnosed with hypertension? If yes, what year was the last diagnosis? Check only - if referred to Healthcare Provider 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36