General health and lifestyle questionnaire

Use this service if you have been asked by the surgery to complete a general health and lifestyle questionnaire.

You can use this service if you:

• are registered at the surgery
• have been invited to do so

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of

Start now

You can also phone us on St Stephen’s Gate Medical Practice 01603 228686 or Newmarket Road Surgery 01603 228686.