Use this form to record your blood pressure readings taken at home.
Last Updated: 21/11/2019
Please provide a mobile number if you have one. We will confirm receipt of your home Blood Pressure Readings by SMS message to your mobile if we have a number.
Blood Pressure Readings
Self monitoring of blood pressure is as accurate as readings taken by your doctor. It can be done in the quiet and convenience of your own home.
Please get comfortable and try to relax for 5 minutes before checking it initially. Ideally avoid measuring your blood pressure if you have drunk any caffeine containing drinks (such as tea or coffee) or alcohol in the past couple of hours.
Please record your blood pressure, sitting down quietly.
Day 1 Readings
If you missed a reading, just put a dash ( - ) in the reading box
Day 2 Readings
Day 3 Readings
Day 4 Readings
Day 5 Readings
Day 6 Readings
Day 7 Readings
Overall Average Blood Pressure
If you know how to calculate your average blood pressure from your readings, please put the average below.
Don't worry if you cannot calculate the average - we'll do it in the practice for you.