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Print off the relevant health questionnaire for your health assessment

If you’ve already booked a health assessment, you will need to print off the relevant health questionnaire, complete it and bring it with you on the day. Please complete it as fully as possible as it forms the basis for your discussion with the Bupa doctor and helps them understand and address your individual needs.

If you have any problems downloading the questionnaire online, please arrive at the centre at least 15 minutes before your appointment to allow time to complete a paper health assessment questionnaire if you have not already received one in your pre-appointment pack.

We have also included some detailed information about the tests we will perform. Please read the factsheets prior to attending your health assessment.

Please click on the health assessment you have bookedShow all

Core health assessments

Bupa Advanced Health Hide

Advanced Health questionnaire

Advanced Health checklist

Bowel cancer test information

Cervical smear test information

Cardiorespiratory exercise test information

Mammogram information

Prostate cancer blood test information

Bupa Complete Health Hide

Complete Health questionnaire

Bowel cancer test information

Cervical smear test information

Dietary questionnaire

Mammogram information

Prostate cancer blood test information

Bupa Female Health Hide

Female Health questionnaire

Female Health checklist

Cervical smear test information

Mammogram information

Bupa Essential Health Hide

Essential Health questionnaire

Essential Health checklist

Bupa Mature Health Hide

Mature Health questionnaire

Mature Health checklist

Bowel cancer test information

Cervical smear test information

Dietary questionnaire

Mammogram information

Prostate cancer blood test information

Supplementary health checks

Bupa Allergy Health Hide

Allergy Health questionnaire

Allergy Health checklist

Bupa Breast Health Hide

Breast Health questionnaire

Breast Health checklist

Mammogram information

Bupa Colon Health Hide

Colon Health questionnaire

Colon Health checklist

Colon scan information sheet

Bupa Coronary Health Hide

Coronary Health questionnaire

Coronary Health checklist

Bupa Erectile Dysfunction Hide

Erectile Dysfunction questionnaire

Erectile Dysfunction checklist

Bupa Liver Health Hide

Liver Health questionnaire

Liver Health checklist

Bupa Sexual Health Hide

Sexual Health questionnaire

Sexual Health checklist

Next steps

Contact us

  • Telephone To discuss your needs call
    0845 600 3476