Download Home Monitoring Blood Pressure Readings

Office Use
AVERAGE BP SCORE
Add Systolics divide by number of readings
Add Diastolic divide by number of readings
Home Blood Pressure Monitoring
Name:
Date of Birth:
Telephone number:
Address:
Date
Day 1
Time
Systolic BP (Upper
Number)
Diastolic BP
(Lower Number)
Pulse Rate
am
pm
Day 2
am
pm
Day 3
am
pm
Day 4
am
pm
Day 5
am
pm
Day 6
am
pm
Day 7
am
pm
Please use this sheet along with your BP machine to record your blood pressure at home.
Ensure you are relaxed when checking your BP. It is generally better to have been quietly sitting for
5 minutes before checking your BP.
Please check your blood pressure morning and night for seven days and then return the record sheet
to the Surgery.
If you are already taking medication please take morning readings after your tablets and
evening readings after medication.