Hypertension Review Questionnaire

If you've been asked to complete a Hypertension Review Questionnaire, please find the form here: https://www.surveymonkey.com/r/BZZ8R65 

Measuring your Blood Pressure at Home

If you have been asked to do some home blood pressure readings, for information on how to measure your blood pressure at home, read the British Heart Foundation information here

Please use the sheet below to record t hose readings and send in to us at the GP Practice.

Home Blood Pressure Monitoring Sheet

Please take your blood pressure (BP) twice a day for three days

Each time:

  • Sit down, relax take the measurements
  • Wait two minutes then do it again

Name:

Date of Birth:

Address:

Date

Morning

Afternoon or Evening

1st BP

2nd BP

Pulse

1st BP

2nd BP

Pulse

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Average

 

 

 

 

 

 

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