demoadmin2021-01-31T10:05:51+00:00 Your Name (required) Your Email (required) Your Contact(required) 1. Are you above 40 years of age ? YesNo 2. Do you smoke? YesNo 3. Do you eat a diet rich in carbohydrates ? YesNo 4. Do you lack exercise and are overweight? YesNo 5. Do you have high cholesterol? YesNo 6. Do you lead a high stress lifestyle or a have a hectic schedule ? YesNo 7. Do you have Diabetes / High blood pressure ? YesNo 8. Do you have a family history of heart ailments? YesNo 9. Have you undergone Angiography/Angioplasty/Bypass surgery ? YesNo 10. Are you advised surgery for the second time? YesNo Your Name (required) Your Email (required) Subject Your Message Option 1Option 2Option 3 sample 1sample 2sample 3 ans 1ans 2ans 3 Radio aaa1bbb2ccc3