Women are less likely than men to participate in cardiac rehabilitation (CR) and physical activity (PA). However, the impact of CR on PA participation and other health promotion (HP) practices in community settings is unknown. The aims of this study were to (1) describe the HP and PA practices and preferences of older women with CVD, and (2) determine how HP activities (including PA and CR) are prioritized, and PA information accessed. We determined whether older women with CVD differ in their PA practices (1) based on their CR attendance, and (2) compared to the population of older Ontario women. Mail surveys were distributed to 252 eligible past female patients at the University of Ottawa Heart Institute (UOHI). Survey completion rate was 50% (N = 127). Analyses described women's PA and HP practices and priorities, and compared PA participation and CR referral rate between (i) survey respondents and older Ontario women, and (ii) CR attendees and non-attendees. Survey respondents (mean age = 75.8 years) were more active than Ontario's population of older women in terms of daily activities, and walking for transportation and exercise (P< .01); CR attendees and non-attendees did not differ in these activities. Seventy two % of women (N = 103) reported participating in PA in their home, and this location was preferred (70%). The most important reason for PA participation is to improve overall health and wellbeing (68%, N = 103), versus other reasons, i.e., 'to manage or prevent health conditions'(13.6%). Women were most likely to consult their physician for PA information or advice (45.3%, N = 53), but 40% (N = 113) reported their physician 'never' or 'rarely' discusses their level of PA or helps them to increase their level of PA (60%, N = 111). Despite an automatic referral policy at UOHI, only 60% (N = 119) reported receiving a referral to CR. Fifty four % of respondents (N = 120) attended CR which is greater than the 37% of eligible older Ontario women who attend CR (P< .01). Women who attended CR were more likely to have received physician referral (P< .01), and less likely to report transportation and a lack of available PA programs in their communities as challenges to PA participation. Since little is known about how women not attending CR prioritize and participate in HP and PA practices, this research can be used to better understand and provide the necessary supports and desirable contexts for women in both hospital and community settings.