Blood pressure review – single reading

Blood pressure (single reading)

Smoking status

Smoker

Never smoked

Ex-smoker

How many per day do you smoke?

When did you give up smoking?

It is important you use an up to date Blood Pressure (BP) machine to take your readings

My BP Machine is 2 years old or less

My BP Machine was serviced in the last 2 years

When you’re taking your blood pressure at home there are things you can do to help get an accurate reading.

Try to:

sit on an upright chair with a back
place your feet flat on the floor
rest your arm on a table and relax your hand and arm
wear something with short sleeves so the cuff does not go over clothes
relax, breathe normally and do not talk during the test
take another reading a few minutes after your first reading to check it’s accurate

If you’ve been asked by a healthcare professional to measure your blood pressure, do this as often as they advised.

Date: *

Please use this date format: DD/MM/YYYY.

Systolic “Higher” *

Diastolic “Lower” *

Heart Rate *

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Confirmation *

I confirm that the information provided is accurate to the best of my knowledge

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