NHS Health Check

If you have been advised by the surgery to submit an NHS health check questionnaire, please use this form.

Please complete what you can. The clinician may go over some of the following question areas again during your health check 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.