Mini Health Review

If you have been requested to complete a Mini Health Review, please use this form.

Mini Health Review

Mini Health Review

About You

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.

General Questions

In Metres
In KG

Smoking Review

Smoking status
Are you interested in advice on how to quit?

Blood Pressure Reading

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Alcohol Consumption

This is one unit of alcohol:

Amount of different types of drink representing one unit of alcohol

And each one of these, is more than one unit:

Amount of different types of drink representing more than one unit of alcoholAmount of different types of drink representing more than one unit of alcohol
How often do you have a drink containing alcohol? *
How many units of alcohol do you drink on a typical day when you are drinking? *
How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year? *