NCD RISK ASSESSMENT FORM 2021

TOTAL NUMBER ASSESSED:

AGE MALE SMOKER DRINKER RAISED WITH CO BODY MASS INDEX CENTRAL RISK LEVEL
GROUP BP MORBIDS ADIPOSITY
UNDERWEIGHT OVERWEIGHT OBESE <10% 10%- 20%- 30%- 40%
20% <30% <40% ABOVE
20-29 y/o
30-39 y/o
40-49 y/o
50-59 y/o
60-69 y/o
70-79 y/o
80 y/o &
above
TOTAL

AGE FEMALE SMOKER DRINKER RAISED WITH CO BODY MASS INDEX CENTRAL RISK LEVEL
GROUP BP MORBIDS ADIPOSITY
UNDERWEIGHT OVERWEIGHT OBESE <10% 10%- 20%- 30%- 40%
20% <30% <40% ABOVE
20-29 y/o
30-39 y/o
40-49 y/o
50-59 y/o
60-69 y/o
70-79 y/o
80 y/o &
above
TOTAL