There was little relationship between what was written in the case notes and what
patients thought had happened. Agreement between the audit and questionnaire for screening of
risk factors was at best fair. For the delivery of health promotion agreement was moderate for
alcohol, poor for exercise, and no different from chance for smoking and diet. Agreement on
identifying risk factors was very good for obesity, good for smoking, and moderate for alcohol
misuse. The identification of diet quality and level of physical activity was too low in the audit to
allow statistical comparison with self-reported diet and activity.