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Hypertension annual review

Hypertension Annual Review

Ethnicity

What is your ethnic group?

Height and Weight

Blood Pressure

If you do not have a home blood pressure machine, please come into the surgery and use the machine in reception. Please make a note of this reading and complete this form.

Smoking

What is your current Smoking Status?

Alcohol

Units and calories for drinks
Type of drink Number of alcohol units
Single small shot of spirits (25ml, ABV 40%) 1 unit
Alcopop (275ml, ABV 5.5%) 1.5 units
Small glass of red/white/rosé wine (125ml, ABV 12%) 1.5 units
Bottle of lager/beer/cider (330ml, ABV 5%) 1.7 units
Can of lager/beer/cider (440ml, ABV 5.5%) 2.4 units
Pint of lower-strength lager/beer/cider (ABV 3.6%) 2 units
Standard glass of red/white/rosé wine (175ml, ABV 12%) 2.1 units
Pint of higher-strength lager/beer/cider (ABV 5.2%) 3 units
Large glass of red/white/rosé wine (250ml, ABV 12%) 3 units
How often do you have a drink containing alcohol? *
How many units of alcohol do you drink on a typical day when you are drinking? *
How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year? *