7/24/2019 Survey Proforma

1/3

survey:

Pressure of Handling Money

Topic:Survey of Blood Pressure Recording in BankEmployees

Methodology:

1. uestionnaire !lling up of Symptoms pertainingto "ypertension

#. Recording of Blood Pressure in Bank Employees$

Randomly %y Palpatory and &uscultatory Method&im: To record Blood Pressure in at least 1'' to #''Bank Employees

(%)ective: To assess the *egative e+ect on BloodPressure of Employees ,ho Responsi%ly "andleSomeone-s Money Every day.

7/24/2019 Survey Proforma

2/3

Proforma

emographics:

*am

e

&g

e

Se

/

M0

esignati

on

Ban

k&ddress

Mo%ile *o. Email

2d

uestionnaire:

Past history of "ypertension: yes 0nouration:

Treatment:Symptom ' 1 # 3 4 5 6 7 8 9 1'hest pain:Breathlessness:(n E/ertion E/tra

ordinary;1 (R&TER (R? "(CRS$ please circle the num%er most appropriate to descri%e theseverity of the symptom. ;' %eing a%sence of the symptom entirely$ and 1'%eing the most severe.