CHF | QuestionPro

Enter your blood pressure reading

Enter your weight

Enter your Pulse(# of beats during one minute)

Are you coughing more than usual?

Yes

No

Have you noticed more swelling in your feet, legs, hands, or belly than usual?

Yes

No

Did you have to sleep sitting up or propped up with more pillows than usual?

Yes

No

Have you felt more tired than usual doing everyday activites?

Yes

No

Do you feel your heartbeat racing or like you might pass out?

Yes

No

Does your belly feel full or bloated?

Yes

No

Have you lost your appetite or feel like you might throw up?

Yes

No