Blood pressure readings

As explained when we discussed measuring your BP at home, we prefer that you use a validated BP monitor. Please record the type of meter you are using: *

It is important that the monitor you are using is less than 4 years old. Please indicate roughly how old your monitor is: *

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Ex-smoker

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When did you give up smoking?

Guidance on taking blood pressure for home monitoring

Please read the following guidelines: Blood Pressure UK
Take at least 2 readings, leaving at least a minute between each. If the first and second reading are very different, take a further reading.
Do not round the readings up or down.
Repeat the above between 06:00 and 12:00 and again between 18:00 and midnight. Do this for 7 consecutive days and input below.

Day 1

Date: *

Please use this date format: DD/MM/YYYY.

1st Morning Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

2nd Morning Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

1st Evening Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

2nd Evening Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

Day 2

Date: *

Please use this date format: DD/MM/YYYY.

1st Morning Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

2nd Morning Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

1st Evening Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

2nd Evening Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

Day 3

Date: *

Please use this date format: DD/MM/YYYY.

1st Morning Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

2nd Morning Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

1st Evening Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

2nd Evening Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

Day 4

Date: *

Please use this date format: DD/MM/YYYY.

1st Morning Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

2nd Morning Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

1st Evening Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

2nd Evening Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

Day 5

Date: *

Please use this date format: DD/MM/YYYY.

1st Morning Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

2nd Morning Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

1st Evening Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

2nd Evening Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

Day 6

Date: *

Please use this date format: DD/MM/YYYY.

1st Morning Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

2nd Morning Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

1st Evening Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

2nd Evening Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

Day 7

Date: *

Please use this date format: DD/MM/YYYY.

1st Morning Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

2nd Morning Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

1st Evening Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

2nd Evening Measurement

Systolic (Top Number) *

/

Diastolic (Bottom Number) *

Heart Rate *

Average Blood Pressure (Morning and Evening)

This is automatically calculated for internal use only. Averages do not include day 1.

Morning Measurement

Systolic (Top Number)

/

Diastolic (Bottom Number)

Heart Rate

Evening Measurement

Systolic (Top Number)

/

Diastolic (Bottom Number)

Heart Rate

Overall Average Blood Pressure

This is automatically calculated for internal use only. Averages do not include day 1.

Systolic (Top Number)

/

Diastolic (Bottom Number)

Heart Rate

*

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Section

About You

Guidance on taking blood pressure for home monitoring

Day 1

Day 2

Day 3

Day 4

Day 5

Day 6

Day 7

Average Blood Pressure (Morning and Evening)

Overall Average Blood Pressure