Subjects will return to the clinic at 12 months to complete questionnaires to assess changes in depression, anxiety and motivation for healthy behavioral change using the Beck Depression Inventory(BDI), State and Trait Anxiety Inventory (STAI) and ladder scale respectively. Subjects will also be surveyed about their current perception of chest pain as cardiac or noncardiac and the utility of their index cardiovascular evaluation, to provide insight into the etiology of their symptoms.