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Alcohol/Smoking/High Blood Pressure

Alcohol Questionnaire

Please answer the questions in the short questionnaire to enable us to assess your alcohol consumption rate and offer advice if necessary.

Alcohol Consumption Questionnaire

Smoking Status

Please answer the questions in the short questionnaire to enable us to assess you smoking status and offer advice if necessary.

Smoking_Status_Questionnaire.docx

You can email the completed form back to the Practice.  Download the form, complete and save the file to your computere.  Click on Here and attach the file and email to us.  Alternatively print the form off, complete and bring to the surgery.

Available to download - Information Smoking and Your Lungs:   Smoking_and_Your_Lungs.docx

High Blood Pressure

Available to download - Information about High Blood Pressure:   High_Blood_Pressure.docx

 

 

 

 



 
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