NHS Health Checks

If you have been advised by the surgery to submit an NHS health check questionnaire, please use this form.

Please complete what you can; the clinician may go over some of the following questions areas again during your health check appointment, any answers to the questions below that you can complete will help them.

If you are unsure of any sections or have answers that do not have an option, don’t worry as the clinician will be able to go over these during your appointment.

You can now check your height, weight, blood pressure etc using a machine in our waiting room; once we capture this information, we will need to book for blood test in order to complete your NHS HealthCheck.

Health Check Questionnaire

NHS Health Checks are free for anyone aged between 40 and 74 years of age and does not already have a pre-existing condition. Patients can have a check once every 5 years. It can tell you whether you’re at higher risk of getting certain health problems, such as heart disease, diabetes, kidney disease, stroke and dementia.