What is a CVD Screening Questionnaire?
An Accurx questionnaire allows you to gather data about your patients.
The CVD Screening Questionnaire is used to support practices with the Cardiovascular Direct Enhanced Service.
The cohort of patients is accessible via the EScro CSV extension in Vision.
Please note: This Questionnaire is currently only available for Vision organisations within Scotland.
💬 Enrolment SMS:
Once the patient has accessed the link, they will be prompted to enter their date of birth in order to access the questionnaire 📆
Questions:
1. What is your smoking status?
Current smoker
Ex-smoker
Never smoked
2. How much do you smoke? (If selected 'Current smoker')
< 1 cigarette or equivalent per day
1-9 cigarettes or equivalent per day
10-19 cigarettes or equivalent per day
20-39 cigarettes or equivalent per day
40+ cigarettes or equivalent per day
2. How much did you smoke? (If selected 'Ex-smoker')
< 1 cigarette or equivalent per day
1-9 cigarettes or equivalent per day
10-19 cigarettes or equivalent per day
20-39 cigarettes or equivalent per day
40+ cigarettes or equivalent per day
3. How many years did you smoke for? (If selected 'Ex-smoker')
Enter Text
4. Do you drink alcohol?
Yes
No
5. Do you know or are you able to provide your weight?
Yes
No
6. Please enter your weight in kilograms. (If selected 'Yes' for the previous question)
Enter the number in kilograms
7. Do you know or are you able to provide your height?
Yes
No
8. Please enter your height in metres. (If selected 'Yes' for the previous question)
Enter the number in metres
9. Please provide your waist circumference measurement
Enter Text
10. Are you able to provide a blood pressure reading?
Yes
No
11. Input BP readings (If selected 'Yes' for the previous question)
Input blood pressure reading
12. Has anyone in your immediate family been diagnosed with heart or circulatory disease, such as a heart attack or stroke?
Yes
No
13. About your family history of heart or circulatory disease (If selected 'Yes' for the previous question)
What condition was it?
Who had it?
Approximately what age were they diagnosed?
14. Does anyone in your immediate family have diabetes?
Yes
No
15. What type and amount of activity is involved in your work?
I am not in employment (e.g. retired, retired for health reasons, unemployed etc.)
I spend most of my time at work sitting (such as in an office)
I spend most of my time at work standing or walking. However, my work does not require much intense physical effort (e.g. shop assistant, hairdresser, security guard, childminder etc.)
My work involves definite physical effort including the handling of heavy objects and use of tools (e.g. plumber, electrician, carpenter, cleaner, hospital nurse, gardener, postal delivery workers etc.)
My work involves vigorous physical activity including handling of very heavy objects (e.g. scaffolder, construction worker, refuse collector, etc.)
16. Each week, how many hours do you spend on physical exercise such as swimming, jogging, aerobics, football, tennis, gym, workout etc.
None
Some but less than 1 hour
1 hour but less than 3 hours
3 hours or more
When they have submitted their answers, they will be thanked for completing the survey 👇
The response will then be received within the assigned team/Questionnaire inbox (the default for this Questionnaire should be 'CVD Screening').
Please select the 'Save to record' button if you want to save the response to the records.
If you still have any questions or concerns, feel free to chat with us using the green message bubble in the bottom right-hand corner of this page. 👉