Symplicity patient questionnaire

Complete this brief questionnaire to learn if you are a good candidate for the Simplicity blood pressure procedure.


Illustration of a paper form with checks and generic writing with a pencil next to it


Please answer the questionnaire now.

To receive information about whether the Symplicity blood pressure procedure meets your needs, please answer this brief questionnaire. This screening tool does not diagnose your condition. Talk to your doctor about your treatment options. 

This form is only intended for participants 18 years or age of older.
Please verify you are at least 18 years old?*