Respondent sequence number
Blood Pressure Status
Blood Pressure Time in Seconds
Blood Pressure Comment
60 sec HR (30 sec HR * 2)
Had food in the past 30 minutes?
Had alcohol in the past 30 minutes?
Had coffee in the past 30 minutes?
Had cigarettes in the past 30 minutes?
Arm selected
Coded cuff size
60 sec. pulse (30 sec. pulse * 2)
Pulse regular or irregular?
Pulse type
MIL: maximum inflation levels (mm Hg)
Systolic: Blood pres (1st rdg) mm Hg
Diastolic: Blood pres (1st rdg) mm Hg
Enhancement used first reading
Systolic: Blood pres (2nd rdg) mm Hg
Diastolic: Blood pres (2nd rdg) mm Hg
Enhancement used second reading
Systolic: Blood pres (3rd rdg) mm Hg
Diastolic: Blood pres (3rd rdg) mm Hg
Enhancement used third reading
Systolic: Blood pres (4th rdg) mm Hg
Diastolic: Blood pres (4th rdg) mm Hg
Enhancement used fourth reading