How do I find out if I am a candidate for an Acorn research study? Please answer all questions.
1. Are you between the ages of 18-80 years? No Yes Age yrs
2. Have you been told that you have heart failure or congestive heart failure? No Yes Unknown
3. How long ago were you told that you have heart failure or congestive heart failure? 0 -12 months ago greater than 1 year ago greater than 5 years ago
4. Do you regularly see a doctor for your heart failure or congestive heart failure? No Every month every 3-6 months less than once a year as needed
5. Do you take any medications for your heart, such as beta-blockers, ACE inhibitors or diuretics? No Yes
6. Have you ever had heart bypass surgery? No Yes Unknown
7. Are you currently listed on a cardiac transplant list? No Yes
8. Do you want to be contacted for more information about these clinical trials? No Yes Unknown
