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Essex Library Service Blood Pressure Monitor Loan Scheme
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1. What is your age band?
What is your age band?
(Required)
-- Please Select --
18–24
25–34
35–44
45–54
55–64
65–74
75+
2. What is your gender?
What is your gender?
(Required)
-- Please Select --
Female
Male
Non-binary
Transgender
Prefer not to say
Other
3. What is your ethnicity?
What is your ethnicity?
(Required)
-- Please Select --
White
Black / African / Caribbean / Black British
Asian / Asian British
Mixed / Multiple ethnic groups
Other ethnic group
Prefer not to say
4. What is your postcode?
What is your postcode?
(Required)
5. Do you have any pre-existing medical conditions?
Do you have any pre-existing medical conditions?
(Required)
-- Please Select --
Yes
No
Prefer not to say
6. If yes, please provide your pre-existing medical condition/s
If yes, please provide information regarding your pre-existing medical condition/s
7. Are you currently being treated for high blood pressure?
Are you currently being treated for high blood pressure?
(Required)
-- Please Select --
Yes
No
Not sure
Prefer not to say
8. Are you currently taking medication for high blood pressure?
Are you currently taking medication for high blood pressure?
(Required)
-- Please Select --
Yes
No
Not sure
Prefer not to say
9. Please rate these following statements
(Required)
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I was able to successfully monitor my blood pressure over a period of time.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
The blood pressure monitor was simple to use.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
The leaflet provided was useful in helping me use the blood pressure monitor.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
Loaning the blood pressure monitor has helped me feel more in control of my health.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
My overall experience with loaning the blood pressure monitor was positive.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
10. Is there anything else you’d like to share about your experience with the blood pressure monitoring scheme?
Is there anything else you’d like to share about your experience with the blood pressure monitoring scheme?
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