Hypertension Pre-Evaluation Questionnaire

Measures what a person already knows about high blood pressure before a consultation or an education session. It gathers demographic profile, family background, information sources and how the respondent perceives risk factors and symptoms. Serves clinics, community health programmes and nursing teams planning preventive work.

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This questionnaire measures your baseline knowledge of the risks, complications and prevention of hypertension. Do you agree to take part?

Yes, I agree to take part No, I prefer not to take part

Education level

No formal schooling Primary education Secondary education College or university Postgraduate

Current occupation

Family History of hypertension

Yes No Not sure

Have you ever heard of hypertension

Yes No

If yes, what is your source of information

Health worker Family or friends Television or radio Internet or social media Newspapers or leaflets School or university

Baseline blood pressure

General knowledge about hypertension: tick the statements you believe are true

Hypertension may cause no symptoms It usually needs lifelong control It damages the heart and kidneys It is detected by measuring blood pressure It also affects young adults

Risk factors for hypertension

High salt intake Overweight or obesity Smoking Excessive alcohol use Lack of physical activity Ongoing stress Family history

Signs and symptoms of hypertension

Persistent headache Dizziness Blurred vision Chest pain Nosebleeds Shortness of breath There may be no symptoms at all

Prevention and management of hypertension

Cut down on salt Exercise regularly Keep a healthy weight Take prescribed medication Stop smoking Check blood pressure often

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