EPIRxISK

Biological Sex

Male Female

Age

Enter age (years)

Ethnicity

Caucasian/Other African/Caribbean East Asian (e.g. Chinese, Japanese, Korean)/ South Asian (Indian, Pakistani, Sri Lankan, Bangladesh)

Medical History

Diabetes Chronic Kidney Disease Atheroslerotic Vascular Disease

Cerebrovascular (eg. Stroke/TIA) Coronary (eg. Myocardial Infarction, Acute Coronary Syndrome, Angina, Coronary Revascularization) Peripheral Arterial Disease Abdominal Aortic Aneurysm

Chronic Inflammatory Condition None of the above

Diabetes History

Diabetes duration (years)

Atheroslerotic Vascular Disease History

Years since first diagnosis (years)<

Family History

Premature cardiovascular disease

(First degree relative with CVD <55y for males and <65y for females)

Yes No