Submit a 7 day blood pressure reading

Last Updated: 15/07/2024

Your Information

Full Name *

Address *

Date of Birth *

Mobile

Landline

Have you previously been diagnosed with hypertension (High blood pressure)? *

Yes No

Why have you been asked to submit these readings? *

My Blood pressure was raised in clinic and the doctor/nurse requested I submit them

My medication review is due and I was requested to submit them

I submitted a blood pressure reading and it was raised, so I was asked to submit more readings.

Other

Instructions

Check the blood pressure 3 times in the morning and 3 times in the evening
Only record the lowest reading of the 3 from each testing session
Use the same arm each time
Record for 7 days so you should have 14 recorded readings in all (2 per day, morning and evening)
Try to relax and avoid talking whilst using the monitor
Try to avoid testing within 30 minutes of smoking, eating a large meal, caffeinated drink, alcohol or vigorous exercise

Readings

Reading 1. Systolic (Top) Reading *

Reading 1. Diastolic (Bottom) Reading *

Reading 2. Systolic (Top) Reading *

Reading 2. Diastolic (Bottom) Reading

Reading 3. Systolic (Top) Reading

Reading 3 Diastolic (Bottom) Reading

Reading 4. Systolic (Top) Reading

Reading 4. Diastolic (Bottom) Reading

Reading 5. Systolic (Top) Reading

Reading 5. Diastolic (Bottom) Reading

Reading 6. Systolic (Top) Reading

Reading 6. Diastolic (Bottom) Reading

Reading 7. Systolic (Top) Reading

Reading 7. Diastolic (Bottom) Reading

Reading 8. Systolic (Top) Reading

Reading 8. Diastolic (Bottom) Reading

Reading 9. Systolic (Top) Reading

Reading 9. Diastolic (Bottom) Reading

Reading 10. Systolic (Top) Reading

Reading 10. Diastolic (Bottom) Reading

Reading 11. Systolic (Top) Reading

Reading 11. Diastolic (Bottom) Reading

Reading 12. Systolic (Top) Reading

Reading 12. Diastolic (Bottom) Reading

Reading 13. Systolic (Top) Reading

Reading 13. Diastolic (Bottom) Reading

Reading 14. Systolic (Top) Reading

Reading 14. Diastolic (Bottom) Reading

Average Readings

To find your average readings please:

Add your 14 Systolic readings together then divide by 14 and record the total below.

Add your 14 Distolic readings together then divide by 14 and record the total below.

Average Systolic Reading

Average Distolic Reading

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Submit a 7 day blood pressure reading

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