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Do You Need a Health Service?

1. Do you often ask people to repeat themselves?

Yes
No

2. Do you experience ringing in the ears regularly?

Yes
No

3. Have you turned up the TV volume more than usual lately?

Yes
No

4. Do you regularly monitor your blood pressure at home or with a healthcare provider?

Yes
No

5. Have you been diagnosed with diabetes or pre-diabetes, or are you concerned about your blood sugar levels?

Yes
No

6. Do you take multiple medications daily and sometimes find it hard to keep track?

Yes
No

7. Do you feel tired or low in energy, particularly in the winter months?

Yes
No

8. Would you like help managing your weight in a structured, supported way?

Yes
No

9. Do you use an inhaler and want to ensure you’re using it correctly?

Yes
No

10. Are you a current smoker and interested in quitting?

Yes
No

11. Do you have minor symptoms (like cough, sore throat, or rash) and want quick advice or treatment?

Yes
No

12. Do you find it difficult to get a timely GP appointment to renew a regular prescription?

Yes
No

13. Do you experience leg swelling or varicose veins?

Yes
No

14. Are you interested in staying up to date with seasonal or routine vaccinations?

Yes
No

15. Do you ever need emergency contraception or advice on reproductive health?

Yes
No

16. Do you have concerns about your sexual health, such as erectile dysfunction or STI prevention?

Yes
No

17. Have you been prescribed Prolia and need help with administration?

Yes
No

18. Do you suffer from earwax buildup that affects your hearing?

Yes
No
Your answers are private and not stored — this is just for you.