A blood pressure log sheet that lives in one form

Updated 2026-10-30

Paper logs go missing, and photos of them are hard to sort. I would rather add each reading to one form. Every entry lands in a row, so the whole list comes out as a table when a visit is near.

Who is it for, and what does it ask?

It suits people who measure at home, carers who log for a parent, and clinics that want a patient to keep a tidy list. The date and the time of day let you compare mornings with evenings. The two numbers and the pulse are the reading itself. Arm and position keep readings comparable, and the "before the reading" choice explains odd results.

What would my AI ask?

"What are today's top and bottom numbers?" Then "Which arm did you use?" Then "Did you have coffee or exercise first?" It shows the answers and sends only after a yes. Read about agent-fillable forms.

Is it medical advice?

No. This is a form, not medical advice. Check your local privacy rules before collecting health data. Bring the CSV to your next visit and let your doctor read the pattern.

Keeping other logs too? Try a medication log next to this one, or a food diary. More health ideas are in forms for clinics.

Questions

How do I see my readings over time?

Download the responses as CSV and open it in a spreadsheet. Sort by reading_date, then chart the systolic and diastolic columns to see how the numbers move.

Can I log a reading by talking to my AI?

Yes. Open the public form, copy the agent prompt into your own AI chat and tell it the numbers. It shows them, asks Send it?, and submits only after a yes.

Why is there no alert for a high reading?

The form stores what you enter and nothing else. It does not judge or warn. If a number worries you, call your doctor or your local emergency number.

Try the form

Live demo ยท nothing is saved

Blood pressure reading

Add one entry each time you measure. Copy the numbers from your monitor and add a note if anything was unusual.

Time of day (required)
Which arm did you use?
Were you sitting, standing or lying down?
Anything before the reading?
I felt unwell during this reading
Use this templateAll templates

Or paste the JSON

Give this to your AI. It needs the AI Form API MCP server or an API key. It makes the form and sends you the link.

text
Create this form with the AI Form API create_form tool (or POST https://aiformapi.com/v1/forms with my API key). Then reply with the public_url.

{
  "title": "Blood pressure reading",
  "description": "Add one entry each time you measure. Copy the numbers from your monitor and add a note if anything was unusual.",
  "fields": [
    {
      "id": "reading_date",
      "label": "Date of reading",
      "type": "date",
      "required": true
    },
    {
      "id": "time_of_day",
      "label": "Time of day",
      "type": "single_choice",
      "required": true,
      "options": [
        "Morning",
        "Midday",
        "Afternoon",
        "Evening",
        "Bedtime"
      ]
    },
    {
      "id": "systolic",
      "label": "Top number (systolic) in mmHg",
      "type": "number",
      "required": true,
      "min": 40,
      "max": 300
    },
    {
      "id": "diastolic",
      "label": "Bottom number (diastolic) in mmHg",
      "type": "number",
      "required": true,
      "min": 20,
      "max": 200
    },
    {
      "id": "pulse_bpm",
      "label": "Pulse in beats per minute",
      "type": "number",
      "min": 20,
      "max": 250
    },
    {
      "id": "arm_used",
      "label": "Which arm did you use?",
      "type": "single_choice",
      "options": [
        "Left arm",
        "Right arm"
      ]
    },
    {
      "id": "body_position",
      "label": "Were you sitting, standing or lying down?",
      "type": "single_choice",
      "options": [
        "Sitting",
        "Standing",
        "Lying down"
      ]
    },
    {
      "id": "before_reading",
      "label": "Anything before the reading?",
      "type": "multi_choice",
      "options": [
        "Coffee or tea",
        "Exercise",
        "A meal",
        "Stress or worry",
        "Medicine taken",
        "Nothing special"
      ]
    },
    {
      "id": "felt_unwell",
      "label": "I felt unwell during this reading",
      "type": "checkbox"
    },
    {
      "id": "reading_note",
      "label": "Note",
      "type": "long_text",
      "max_length": 500
    }
  ]
}

Or call the API

bash
curl -X POST https://aiformapi.com/v1/forms \
  -H "Authorization: Bearer $AIFORMAPI_KEY" \
  -H "Content-Type: application/json" \
  -d '{"title":"Blood pressure reading","description":"Add one entry each time you measure. Copy the numbers from your monitor and add a note if anything was unusual.","fields":[{"id":"reading_date","label":"Date of reading","type":"date","required":true},{"id":"time_of_day","label":"Time of day","type":"single_choice","required":true,"options":["Morning","Midday","Afternoon","Evening","Bedtime"]},{"id":"systolic","label":"Top number (systolic) in mmHg","type":"number","required":true,"min":40,"max":300},{"id":"diastolic","label":"Bottom number (diastolic) in mmHg","type":"number","required":true,"min":20,"max":200},{"id":"pulse_bpm","label":"Pulse in beats per minute","type":"number","min":20,"max":250},{"id":"arm_used","label":"Which arm did you use?","type":"single_choice","options":["Left arm","Right arm"]},{"id":"body_position","label":"Were you sitting, standing or lying down?","type":"single_choice","options":["Sitting","Standing","Lying down"]},{"id":"before_reading","label":"Anything before the reading?","type":"multi_choice","options":["Coffee or tea","Exercise","A meal","Stress or worry","Medicine taken","Nothing special"]},{"id":"felt_unwell","label":"I felt unwell during this reading","type":"checkbox"},{"id":"reading_note","label":"Note","type":"long_text","max_length":500}]}'

JSON definition

json
{
  "title": "Blood pressure reading",
  "description": "Add one entry each time you measure. Copy the numbers from your monitor and add a note if anything was unusual.",
  "fields": [
    {
      "id": "reading_date",
      "label": "Date of reading",
      "type": "date",
      "required": true
    },
    {
      "id": "time_of_day",
      "label": "Time of day",
      "type": "single_choice",
      "required": true,
      "options": [
        "Morning",
        "Midday",
        "Afternoon",
        "Evening",
        "Bedtime"
      ]
    },
    {
      "id": "systolic",
      "label": "Top number (systolic) in mmHg",
      "type": "number",
      "required": true,
      "min": 40,
      "max": 300
    },
    {
      "id": "diastolic",
      "label": "Bottom number (diastolic) in mmHg",
      "type": "number",
      "required": true,
      "min": 20,
      "max": 200
    },
    {
      "id": "pulse_bpm",
      "label": "Pulse in beats per minute",
      "type": "number",
      "min": 20,
      "max": 250
    },
    {
      "id": "arm_used",
      "label": "Which arm did you use?",
      "type": "single_choice",
      "options": [
        "Left arm",
        "Right arm"
      ]
    },
    {
      "id": "body_position",
      "label": "Were you sitting, standing or lying down?",
      "type": "single_choice",
      "options": [
        "Sitting",
        "Standing",
        "Lying down"
      ]
    },
    {
      "id": "before_reading",
      "label": "Anything before the reading?",
      "type": "multi_choice",
      "options": [
        "Coffee or tea",
        "Exercise",
        "A meal",
        "Stress or worry",
        "Medicine taken",
        "Nothing special"
      ]
    },
    {
      "id": "felt_unwell",
      "label": "I felt unwell during this reading",
      "type": "checkbox"
    },
    {
      "id": "reading_note",
      "label": "Note",
      "type": "long_text",
      "max_length": 500
    }
  ]
}