Blood Pressure Management
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1. Blood Pressure Tracking at Home
Patient blood pressure measurement between doctor office visits.
1
. Do you measure your blood pressure at home or office between doctor office visits?
Do you measure your blood pressure at home or office between doctor office visits?
Yes
No
Comments
2
. If not, would you like to learn how to do this accurately to provide your doctor with accurate records of your blood pressure trends between office visits?
If not, would you like to learn how to do this accurately to provide your doctor with accurate records of your blood pressure trends between office visits?
Yes
No
Other (please specify)
3
. If yes, how often do you measure your blood pressure between office visits?
If yes, how often do you measure your blood pressure between office visits?
Occasionally (randomly)
monthly
weekly
once a day
more than once a day
Other (please specify)
4
. If yes, do you record your measurements by date and day of the week in a log book for your doctor?
If yes, do you record your measurements by date and day of the week in a log book for your doctor?
Yes
No
5
. Would you like a consistent, uniform tracking log to provide to your doctor self-measurement results that he/she can add to your personal health records?
Would you like a consistent, uniform tracking log to provide to your doctor self-measurement results that he/she can add to your personal health records?
Yes
No
Other (please specify)
6
. Do have a PC with Microsoft Excel*?
*Note: Microsoft Excel is a registered trademark of Microsoft Corp.
Do have a PC with Microsoft Excel*? *Note: Microsoft Excel is a registered trademark of Microsoft Corp.
Yes
No
Other (please specify)
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