QRISK3 patient questionnaire
Tell us about your health so the AIS Health Check clinical team can assess your cardiovascular risk.
This questionnaire collects information for a clinical review; it does not calculate or display a risk score. QRISK3 is intended for people aged 25–84. Your clinician will check whether it is suitable for you, including any existing heart or vascular disease and statin treatment. Please mention either in the notes below if applicable.
Fields marked * are required. Tick the medical conditions or treatments that apply to you. If you are unsure about an answer, explain this in the notes for your clinician. This form is not monitored for urgent medical help.