Chinese is one of the largest visible minority groups in Canada, with a substantial portion being recent immigrants. In 2004, our group conducted a telephone survey among 1000 ethnic Chinese on the knowledge of stroke and heart disease. In that study, we demonstrated substantial lack of knowledge of cardiovascular diseases in this cohort. In the current study, we sought to update the status of the awareness of the warning signs and risk factors for heart disease and stroke among Chinese Canadians. A 35-question online survey was conducted among 1,001 ethnic Chinese (>=18 years old) in the Greater Toronto Area (N=501) and Vancouver (N=500) in the fall of 2017. Survey questions included knowledge of heart disease and stroke such as signs and symptoms for acute myocardial infarction (AMI), stroke, health habits, and initial response in case of a cardiovascular emergency. Among the respondents, 52.0% were female, 46.3% were under age 45. 40.1% spoke Cantonese at home and 23.7% spoke Mandarin. 92.5% were immigrants with 31% being in Canada for less than 10 years. 40% have college education or above. In 2004, 20% of those surveyed would call 911 in case of a cardiovascular emergency (heart attack or stroke) but this number increased to 85% in 2017. In 2017, 85% were able to name at least one heart attack symptom and 80% were able to name at least one stroke symptom. This is a substantial improvement compared with previous study. In this cohort, 62% of the respondents exercise at least 20 minutes a day three times a week. Many respondents believe Chinese Canadian are at higher risk in developing heart disease, stroke, hypertension, diabetes, and hypercholesterolemia (see Figure 1). Cardiovascular knowledge among Chinese Canadians has improved over the years between 2004 and 2017. There is better awareness of warning signs for common cardiovascular disorders and the need to call 911 in case of cardiovascular emergencies. These findings may owe in part to the efforts of the public education that have been taken place locally as well as from the countries of origin. Also in this cohort, it appears they have better health habits. Despite these findings, we can still improve on our health education efforts. Our findings have important implications in the development of future health promotion initiatives targeted towards this mainly immigrant population in order to address specific knowledge gaps and misconceptions in heart disease and stroke.