Healthy Heart Questionnaire
Please only complete the following questionnaire if requested by your surgery as part of your routine Healthy Heart Review. This questionnaire is for a routine review of your symptoms. If you are experiencing chest pain, severe shortness of breath or other concerning symptoms, please follow your care plan (if you have one) or ring your GP or 999 immediately.
Home Blood Pressure Monitoring (HBPM) is increasingly used by GP's as a safe and accurate way to manage your blood pressure. Many of our patients already have a monitor at home, and we would encourage all of our Healthy Heart Patients to home monitor. Monitors for home use should be clinically validated and an up-to-date list of such devices is available at www.bhsoc.org, or can be purchased from your local pharmacy.
We would suggest that you monitor your blood pressure twice weekly, and submit average readings to the surgery every six months. If your blood pressure is persistently elevated over 3 or more readings, please contact the surgery to arrange a BP check with our Health Care Assistant, and bring your home monitor along to this appointment.
If your results are within target range the healthcare professional will add them to your medical record once they have reviewed them, and let you know if any follow-up or blood tests are required. If your average blood pressure reading is outside the normal range we will contact you to arrange an appointment with our Healthcare Assistant. Please bring your monitor along to this appointment.
Healthy Heart Questionnaire
Home Blood Pressure Recordings:
Think you might be drinking too much? We know it can be hard to keep track of how much you are drinking. The latest advice for adults- for both men and women- is that you should drink no more than 14 units a week. If you would like 1:1 support to reduce your alcohol consumption contact OneSmallStep by telephoning 01392 908 139 or via their website https://www.onesmallstep.org.uk
When you are happy with all your above answers, please click "Submit" below and the questionnaire will be automatically sent to your GP practice. Depending upon your answers and your other medical conditions , you will be contacted if you need to be seen in clinic for a further assessment. Should your symptoms change, please seek medical advice and book an appointment if required.
Information submitted through secure forms is used only for the purposes of processing your request. We may
be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key and is accessed over a secure
connection by nominated staff. We have a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.