If you have been advised by the surgery to submit an NHS health check questionnaire, please use this form. Then please phone reception and book an appointment for an NHS healthcheck.
Please complete what you can. The clinician may go over some of the following question areas again during your healthcheck appointment. Any answers from 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.