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The Pre-Employment Medical Questionnaire helps employers gather relevant health information from prospective employees where this is necessary for the role, workplace health and safety, reasonable adjustments or other legitimate employment purposes. It provides a structured and proportionate way to identify relevant health considerations before employment begins.
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Please complete this questionnaire as part of the Company's pre-employment process. The information requested is intended to help us identify any health, safety or workplace support considerations relevant to the role for which you have been offered / are being considered for employment.
You should answer the questions accurately and provide information that is relevant to your ability to undertake the role safely or to any support or adjustments you may require.
The information you provide will be treated confidentially and handled in accordance with the Company's data protection arrangements.
Candidate and role details
| Candidate name: | |
| Role applied for: | |
| Department: | |
| Proposed start date: |
General health
1. Do you have any health condition, illness or injury which may affect your ability to carry out the duties of the role?
Yes / No
If yes, please provide relevant details:
2. Are you currently receiving any medical treatment, medication or other support which may affect your ability to undertake the role safely?
Yes / No
If yes, please provide relevant details:
3. Have you had any significant period of sickness absence or treatment during the last [12 / 24] months which may be relevant to
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A Pre-Employment Medical Questionnaire is used to gather relevant health information from a prospective employee where there is a legitimate reason for doing so. It can help an employer understand whether there are health and safety considerations associated with the role and whether workplace adjustments or other support may be appropriate.
The questionnaire is designed to focus on information relevant to the employment and should not be used as a general medical history form or as a means of excluding candidates because of a health condition or disability.
The questionnaire can help identify potential workplace adjustments, role-specific restrictions, Occupational Health requirements and health and safety considerations before employment begins.
It is particularly useful for roles involving specific physical, safety or occupational requirements, although employers should ensure that any questions asked are relevant and proportionate to the purpose for which the information is being collected.
The template is suitable for HR professionals and employers who need to gather relevant pre-employment health information as part of a lawful and proportionate recruitment or onboarding process.
HR should review the information only for the relevant employment purpose and consider whether further discussion, reasonable adjustments or Occupational Health input is appropriate. The information should not automatically be used to make assumptions about a candidate's ability to perform the role.
Use these best practice actions, recommended timescales and process stages to understand when and how the Pre-employment medical questionnaire form should be used, helping ensure each step is handled consistently and appropriately documented.
Understand the common mistakes to avoid when using this HR template, helping you reduce risk, prevent unnecessary costs and ensure the process is handled correctly.
There are restrictions on asking applicants health or disability questions before making an offer under the Equality Act 2010, subject to specific exceptions. Employers should therefore establish why the information is needed and ensure the questionnaire is used at an appropriate stage of recruitment.
An employer should not automatically reject someone because they have a health condition or disability. The employer should consider whether the individual can perform the role, whether reasonable adjustments are available and whether any genuine occupational or health and safety requirements apply.
HRDocBox combines deep HR knowledge, practical application and years of experience with real recruitment and employee relations situations. The questionnaire is structured around relevant workplace considerations rather than simply asking for an applicant's complete medical history.
AI can generate a generic medical questionnaire very quickly, but pre-employment health questions need to be carefully considered because they sit at the intersection of recruitment, the Equality Act 2010, health and safety, reasonable adjustments and data protection. HRDocBox combines UK employment-law knowledge, practical HR experience and best practice to help employers ask the right questions for the right reasons.
Only information that is relevant and necessary for the legitimate employment purpose should generally be collected. A pre-employment questionnaire should not become an unnecessary request for a candidate's complete medical history.
The timing depends on why the information is required. Employers need to take particular care before making an offer because the Equality Act restricts health and disability questions at that stage, subject to specific exceptions. Where health information is required for a legitimate post-offer purpose, the process should still be proportionate and relevant to the role.
How this content is developed and reviewed
The Pre-employment medical questionnaire form template is developed using a practical HR methodology that considers current UK employment legislation, ACAS guidance, CIPD good practice and the real-world HR process it supports. Templates are regularly reviewed and updated, with additional reviews triggered by significant changes to legislation, guidance or established HR practice, helping ensure each document remains practical, relevant and suitable for UK employers.
Darryl Horn, Chartered HR Director
Darryl is a Chartered HR professional with over 25 years' experience in senior HR and employee relations roles.
He has extensive practical experience of managing job offer processes and founded hrdocbox to provide businesses with practical, professionally developed HR resources grounded in UK employment law and best practice.
HRDocBox has been creating practical UK HR documents since 2009.
"Darryl provides support and advice with excellent judgement, and has a strong understanding of people, policies and UK employment legislation."
"He is someone I trust; consistent, dependable, and committed to doing things properly."
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