Moss Grove Surgery Annual Blood Pressure Review
What is your name?
What is your date of birth?
For example, 31 3 1980
What is your sex?
As recorded on your medical record
The one used to register with your GP
Anyone else with access to your email account may see responses sent to you
Smoking status
Do you drink alcohol?
Are you a carer?
Have you any concerns about your memory?
Have you got a hypertension monitor at home?
Have you any concerns regarding your medication?

Your Blood Pressure

What are your latest 7 days worth of readings?

Day 1

Please use this date format: DD/MM/YYYY.
Morning Measurement
Evening Measurement

Day 2

Please use this date format: DD/MM/YYYY.
Morning Measurement
Evening Measurement

Day 3

Please use this date format: DD/MM/YYYY.
Morning Measurement
Evening Measurement

Day 4

Please use this date format: DD/MM/YYYY.
Morning Measurement
Evening Measurement

Day 5

Please use this date format: DD/MM/YYYY.
Morning Measurement
Evening Measurement

Day 6

Please use this date format: DD/MM/YYYY.
Morning Measurement
Evening Measurement

Day 7

Please use this date format: DD/MM/YYYY.
Morning Measurement
Evening Measurement

Average Blood Pressure

This is automatically calculated for internal use only.

Morning Measurement
Evening Measurement