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Purpose.This study evaluates beliefs churchgoing Blacks hold about causes of hypertension and impact on adherence to non-pharmacologic treatment. Methods. We created a 17-question survey about participants’ family history, medication use, behavioral modification, causes of hypertension, intake of fruit and vegetables, salt intake and physical activity. Data came from three predominantly Black churches in Florida. We conducted statistical analyses using Microsoft Excel 2010 and Stata Version 12. Results. Over 67% responded that physical activity was effective in lowering blood pressure, while greater than 53% responded that a diet high in fruits and vegetables was effective in lowering blood pressure. Over 78% responded that a low-salt diet is effective in lowering blood pressure. Respondents also felt that exercise (71%) and low-salt diet (72%) were as effective as medications in lowering blood pressure. Conclusions. Our sample believes non-pharmacological treatments are effective in lowering blood pressure, regardless of perceived cause.