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Pre-Employment Questionnaire launched

2 July 2010

Business Health Ireland are pleased to announce the launch of our new online Pre-Employment Questionnaire. This online questionnaire is designed to enable Business Health Ireland to:

  • determine your fitness to safely carry out the duties of a specific role;
  • minimise the risk of aggravating a pre-existing condition;
  • protect you as a potential employee, and your colleagues and the general public from any medical-related risk;
  • recommend appropriate job accommodations or restrictions required to facilitate you carrying out your duties safely and to allow your employer to fulfil their legal and ethical responsibilities.

The information you provide will be stored in this electronic questionnaire, and may also be stored securely in printed form. The data will be held in accordance with Data Protection Legislation. The medical information you provide in this questionnaire will be treated in the strictest of confidence by Business Health Ireland. A medical certificate will be issued regarding your fitness for the proposed post, with any job accommodation, restriction that might be required. Confidential medical information will not be provided to your employer without your prior consent. Statistical information may be compiled on an anonymous basis. Failure to disclose any relevant matter relating to your health may result in your not being employed by the employer and, if already employed by the employer, your employment may be affected and rights to workplace compensation compromised. You may also be requested to attend the Business Health Ireland clinic for a pre-employment assessment in person. Please complete all sections of the questionnaire as thoroughly and accurately as possible.

Certain fields are compulsory, and the questionnaire will only allow you to save and submit it once these questions have been answered. Once you have completed the questionnaire, you can save a copy to your own computer and then click the Submit button on the last page.

This questionnaire has been designed to allow you to complete it online. You will need the free Adobe Acrobat Reader software (version 8 or higher), which you can download here. Alternatively, you can simply print out this questionnaire and post it to Business Health Ireland. If you have any questions regarding this form, please contact Business Health Ireland on +353 (0)21 4355950 or email


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