General health questionnaire

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Home Blood Pressure Readings

Click here to download Home Blood Pressure Reading guide

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FAST alcohol screening:

Pint of regular beer/lager/cider

Alcopop or can of lager

Glass of wine (175ml)

Single measure of spirits

Bottle of wine

2 units

1.5 units

2 units

1 unit

9 units

If you are 16 or over, please complete the following questions

Questions:

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Only answer the following questions if your score is 2 or more

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Scoring: a total of 3 or above indicates hazardous or harmful drinking.

If you scored 3 or more and are interested in finding out a bit more, please ask the receptionist for the longer alcohol audit questionnaire and leaflet.

 

Ethnicity:

Please tick the ethnic group which you feel most accurately describes you. These are National codes as defined by the 2001 Census.

 

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