| Gender |
Male/Female |
| Age |
Years |
| Systolic |
Systolic: Blood pressure (first reading) mm Hg |
| Diastolic |
Diastolic: Blood pressure (first reading) mm Hg |
| Weight |
Pounds (lbs) |
| Body mass index |
|
| White blood cells |
White blood cell count: SI |
| Basophils |
Basophils number |
| Red blood cells |
Red cell count SI |
| Hemoglobin |
Hemoglobin (g/dL) |
| Platelet count |
Platelet count (%) SI |
| Mean volume of platelets |
Mean platelet volume (f L) |
| Red blood cell width |
Red cell distribution width (%) |
| Aspartate aminotransferase (AST) |
AST (U/L) AST: SI (U/L) |
| Alanine aminotransferase (ALT) |
ALT (U/L) ALT: SI (U/L) |
| Creatinine |
Creatinine (umol/L) |
| Glucose |
Glucose (mg/dL) |
| Gamma-glutamyl transferase (GGT) |
GGT (U/L) GGT: SI (U/L) |
| Iron |
Iron (umol/L) |
| Lactate dehydrogenase (LDH) |
LDH (U/L) |
| Phosphorus |
Phosphorus (mmol/L) |
| Bilirubin |
Bilirubin, total (umol/L) |
| Protein |
Protein, total (g/L) Total protein (g/L) |
| Uric acid |
Uric acid (umol/L) |
| Triglycerides |
Triglycerides (mmol/L) |
| Albumin |
Albumin (g/L) |
| Alkaline phosphatase (ALP) |
Alkaline phosphotase (U/L) |
| High-density lipoprotein (HDL) |
HDL-cholesterol (mmol/L) |
| Cholesterol |
Total cholesterol (mmol/L) |
| Glycohemoglobin |
Glycohemoglobin (%) |
| Vigorous-work |
How often did you do tasks requiring vigorous effort in the last 30 days? |
| Moderate-work |
How often requiring moderate effort? |
| Diabetes |
Yes/No |
| Blood related diabetes |
Were any of your close biological ever told by a health professional that they had diabetes? |
| Blood related stroke |
Yes/No |
| Coronary heart disease |
Yes/No |
