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General Health Questionnaire

Advice on storm preparation, live updates and help and support after a storm

The General Health Questionnaire is for Fire Fighters, School Crossing Patrol, Airside Drivers and Safety Critical Workers

General Health questionnaire

About you
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General Health questions
Do you, or have you, ever suffered from any of the following (Please select all that apply) :
Have you noticed any change in any of the following in the last 12 months? (Please select all that apply)
Ill health and treatments (Please select all that apply)
Do you smoke or vape?
Have you ever smoked?
Do you drink alcohol?
Do you take regular exercise?
Do you have any hobbies or leisure activities?
Do you eat a healthy diet (5 a day)?
Do you consider you are a healthy weight?
Are you an Airside Driver?
Airside Drivers Only
Has your doctor advised you against any form of driving?
Do you have any medical condition that impairs you driving ability?
Have you been involved in any road traffic accident at work or other where your health, medication or vision was a factor?
Consent

 


Data Protection

Who we are

Occupational Health and Wellbeing and we will be carrying out your Medical.

Why we are collecting the data

We require you to provide this information so that our Clinician/Technician can review the information supplied to establish your current health situation and to identify any possible issues that may arise in undertaking your medical.

Who the data will be shared with

Your data will not be shared with any other parties. If further advice or the opinion of an Occupational Health Physician is required we will obtain your content to share the information prior to doing so.

How long it will be retained

Your information will be kept and stored electronically for 40 years after the end of your employment.

For further information or assistance on Data Protection matters, please contact the Council's Data Protection Officer at dpo@cornwall.gov.uk.

Read our full Privacy Policy