Pre-Employment Health Questionnaire
From Office of the Civil Service Chief Medical Officer
Published on
Last updated on
From Office of the Civil Service Chief Medical Officer
Published on
Last updated on
The purpose of this pre-employment questionnaire is to establish:
It is important you answer the questions as clearly and as accurately as possible, giving details for any ‘yes’ answers.
Please note that we may contact you by phone to do a brief telephone consultation to clarify any details you have provided on this form.
The completed questionnaire will be stored in either electronic or paper form by the Civil Service Occupational Health Department in accordance with the Data Protection Legislation. The medical information supplied will be treated in strict confidence and will not be disclosed to any third party without your consent. Any advice given to the employing department / authority and / or personnel / human resources will be in general terms only. Information gathered may be disclosed on an anonymous basis in a group format for research purposes. This record may be accessed by you under data protection legislation.
Access the questionnaire