Self Assessment Checkup

Use a CHECK to mark where you are up to date on screening tests:

WOMEN			MEN
Mammogram			Blood Pressure Check
Pap Smear			Prostate Specific Antigen
Stool Occult Blood			Stool Occult Blood
Sigmoidoscopy			Sigmoidoscopy
Colonoscopy			Colonoscopy
Cholesterol			Cholesterol
Bone Density			Bone Density
Blood Pressure Check			Body Mass Index
Annual Physical			Annual Physical
C Reactive Protein			C Reactive Protein
EKG if age more than 50			EKG if age more than 50
Body Mass Index