Health Questionnaire Template

Use this Health Questionnaire to collect private and confidential health information from employees or candidates. The form captures personal details, emergency contacts, GP information, current medication, recent sickness, vision and hearing, physical capability, and a full medical history including respiratory, cardiac, musculoskeletal, skin, neurological, and metabolic conditions. It supports risk assessment for fitness to work, shift or night work, working at height, manual handling, and exposure to dust or vibration. Include declarations, consent, and notes on reasonable adjustments where required. Customize fields to your policies and keep records organized for occupational health and safety.