Diabetes Info Please tell us which practice you are registered with—Please choose an option—Haigh Hall Medical PracticeShipley Medical PracticeSunnybank and Cowgill PracticeThornton and Denholme Medical PracticeThe Willows Medical Practicejulie-testpaul-testcathy-test Full name NHS Number (if known) Date of Birth Phone Number Postcode Measurements Height Weight Blood pressure Waist Circumference Diabetes Risk Score Alcohol How often do you have a drink that contains alcohol? NeverMonthly or less2-4 times per month2-3 times per week4+ times per week How many standard alcoholic drinks do you have on a typical day when you are drinking? 01-23-45-67-810+ How often do you have 6 or more standard drinks on one occasion? NeverLess than monthlyMonthlyWeeklyDaily or almost daily Smoking Do you smoke? Current smokerEx-smokerNever smoked
