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Participant Name
*
First
Last
Marital Status
*
– Please select –
Married
Unmarried
Divorcee
Spouse Name
First
Last
Email Address
*
Mobile Number
*
1. No. of chambers in the heart?
*
2
3
4
5
2. Which side of the normal heart carriers impure (deoxygenated) blood?
*
Right
Left
Both
None of the above
3. Normal heart beat of a human being
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30-60
60-90
100-120
120-160
4. Heart attack patients should undergo coronary angioplasty at the earliest to prevent
*
Heart muscle death
Heart failure
Permanent heart damage
All the above
5. Healthy cardiac diet
*
Fruits & vegetables
Meat / Fish
Rice / Wheat
Cheese/ Oil
6. Good exercise for a healthy heart
*
Walking
In gymnasium
Competitive sports
Doing no exercise
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