Health Risk Assessment Template

Identify and assess potential health risks with our easy-to-use and customizable assessment form.
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Support Informed Health Decisions with Risk Assessments

Our Health Risk Assessment form helps you collect and analyze data to identify potential risks, supporting informed decisions that contribute to better health outcomes and proactive wellness strategies.

What key components should be included in a Health Risk Assessment Template?

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A comprehensive Health Risk Assessment Template should include several key components to effectively evaluate an individual's health risks. Key sections should include:

  1. Personal Information: Basic details such as age, gender, and occupation.
  2. Medical History: Questions about pre-existing conditions, family medical history, and current medications.
  3. Lifestyle Factors: Assessments of physical activity levels, dietary habits, smoking, and alcohol consumption.
  4. Health Metrics: Information on vital signs such as blood pressure, weight, and BMI.
  5. Risk Factors: Identification of high-risk behaviors or conditions, such as stress levels or exposure to environmental hazards.

Including these components provides a holistic view of health risks and helps in creating personalized health improvement plans.

Examples of Health Risk Assessment Template questions

Here are examples of questions most commonly used in Health Risk Assessment Template. When using our template, you can edit and adjust all the questions.

Do you smoke cigarettes?

On a scale of 1 to 10, how would you rate your stress level?

Low
High

How many hours of sleep do you typically get per night?

How likely are you to exercise regularly?

Not likely at all
Extremely likely

Do you consume alcohol regularly?

How many servings of fruits and vegetables do you eat daily?

When was your last medical check-up?

Do you have a family history of chronic illnesses?

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