Japanese for a Health Checkup: What Staff Say and How to Reply

At a Japanese health checkup (健康診断, kenkō shindan, often shortened to kenshin) you mostly need to understand short instructions: breathe in, hold it, relax, roll up your sleeve, press the button when you hear a sound. Learn those commands and a handful of replies, and the whole morning becomes easy to follow.

What you need to know

Many people in Japan have a checkup once a year: employees through their workplace, and many others through their city or their health insurance. The paperwork and the stations are covered in many guides, but what actually makes learners nervous is the listening. Staff speak quickly, they use clipped forms such as hai, sutte, tomete, and they often say what they are about to do instead of asking you. This guide focuses on that live language. You will learn the instructions you hear before the day, at reception and at each station, the polite replies that keep things moving, the phrases for when you feel unwell or did not understand, and the small grammar point behind the friendly 〜ますね that staff use all morning. Procedures differ from clinic to clinic and from one checkup programme to another, so always follow the sheet you are sent; the language, however, is remarkably consistent.

Most checkup Japanese is listening: short commands ending in 〜てください

Staff often announce actions with 〜ますね; a simple hai is the right reply

Follow your own sheet for fasting and samples; rules differ by programme

Mō ichido onegai shimasu and kibun ga warui desu are your safety phrases

The four lines that carry the whole morning

A checkup is a chain of short stations, and at almost every one you hear some version of the same few instructions. If you recognise them instantly, you can relax and follow along even when the rest of the sentence goes past too quickly.

The first line below is yours, for the reception desk. The other three are what staff say to you again and again: breathe in deeply, relax, and the question about breakfast that confirms you have followed the fasting rule.

Four picture cards: arriving for a checkup, a deep breath in, relaxing after a test, and confirming you skipped breakfast.
Your arrival line and the three things staff say most often during a Japanese checkup.
JapaneseRomajiMeaning
健診を受けに来ました。Kenshin o uke ni kimashita.I've come for my checkup.
大きく息を吸ってください。Ōkiku iki o sutte kudasai.Staff: Take a deep breath in.
楽にしてください。Raku ni shite kudasai.Staff: Relax, breathe normally.
朝ごはんは抜いてきました。Asagohan wa nuite kimashita.I skipped breakfast as asked.
はい、分かりました。Hai, wakarimashita.Yes, understood.

Before the day: the envelope, the kit and the rules

Your checkup usually begins with an envelope or an email. It may contain a questionnaire (問診票, monshinhyō), a sheet with your appointment time, and sometimes small containers for samples. A common one is a stool test kit (検便, kenben), often collected on two different days before the checkup, and a urine cup that you may use at home or at the clinic. Whether you collect samples at home, and when, depends on your programme.

The other rule to look for is fasting. Many programmes ask you not to eat from a set time the evening before; some allow water, and some ask you to skip medicine until after the blood test. Do not guess: read the sheet, and if anything is unclear, phone the clinic. The phrases below are what you might say on that call.

JapaneseRomajiMeaning
前の日の夜は何時まで食べられますか。Mae no hi no yoru wa nanji made taberaremasu ka.Until what time can I eat the night before?
水は飲んでもいいですか。Mizu wa nonde mo ii desu ka.May I drink water?
いつもの薬は飲んでもいいですか。Itsumo no kusuri wa nonde mo ii desu ka.May I take my usual medicine?
検便の容器を忘れました。Kenben no yōki o wasuremashita.I forgot my stool sample container.
当日に持っていけばいいですか。Tōjitsu ni motte ikeba ii desu ka.Should I just bring it on the day?

Notice the pattern 〜てもいいですか, may I…? It is the safest way to ask about any rule, and staff answer with dōzo (go ahead), daijōbu desu (that's fine) or chotto… (that's a problem), which usually means no.

At reception: forms, the gown and your number

At reception you hand over your forms and samples and confirm your identity. Depending on the programme, you may be asked for your insurance card or the My Number card used as one, a voucher from your city, or nothing but your name. You often receive a file or a card that travels with you from station to station, and in larger centres a number that is called instead of your name.

Many clinics ask you to change into a simple gown or top and leave your bag in a locker. Staff will tell you what to remove, typically jewellery, a watch and anything metal before the chest X-ray.

JapaneseRomajiMeaning
お名前と生年月日をお願いします。Onamae to seinengappi o onegai shimasu.Staff: Your name and date of birth, please.
問診票はご記入いただけましたか。Monshinhyō wa gokinyū itadakemashita ka.Staff: Did you fill in the questionnaire?
一か所、分からないところがあります。Ikkasho, wakaranai tokoro ga arimasu.There's one part I didn't understand.
こちらに着替えてください。Kochira ni kigaete kudasai.Staff: Please change into this.
アクセサリーは外してください。Akusesarī wa hazushite kudasai.Staff: Please take off any jewellery.
番号でお呼びします。Bangō de oyobi shimasu.Staff: We'll call you by your number.

Instructions you will hear, station by station

The order changes between clinics, and not every programme includes every test, but the instructions at each station are very similar everywhere. The table gives the gist so you know what is coming; the phrases after it are the exact lines to train your ear on.

JapaneseRomajiMeaning
靴を脱いで、まっすぐ立ってください。Kutsu o nuide, massugu tatte kudasai.Staff: Shoes off, and stand up straight.
袖をまくってください。Sode o makutte kudasai.Staff: Please roll up your sleeve.
片目を隠してください。Katame o kakushite kudasai.Staff: Please cover one eye.
音が聞こえたらボタンを押してください。Oto ga kikoetara botan o oshite kudasai.Staff: Press the button when you hear a sound.
手をぎゅっと握ってください。Te o gyutto nigitte kudasai.Staff: Make a tight fist.
ここを押さえていてください。Koko o osaete ite kudasai.Staff: Keep pressing here.
胸を板につけてください。Mune o ita ni tsukete kudasai.Staff: Put your chest against the panel.
はい、吸って、止めて。Hai, sutte, tomete.Staff: OK, breathe in, and hold it.
横になってください。Yoko ni natte kudasai.Staff: Please lie down.
StationWhat staff typically askWhat you do
Height and weightShoes off, stand straight, look aheadStep on, stand still until they say it's done
Blood pressureRoll up your sleeve, rest your armSit still and do not talk while the cuff tightens
EyesightCover one eye, say where the gap isAnswer up, down, right or left
HearingPress the button when you hear a soundPress for each beep, even a faint one
Blood testMake a fist, relax your hand, press hereHold the cotton on the spot for a while
Chest X-rayChest to the panel, breathe in, hold itHold still until you hear raku ni
ECGLie down, open your top, relaxLie still while small clips are attached

Hai, sutte, tomete is the clipped form you will really hear in the X-ray room. Staff drop kudasai to keep the rhythm short, and the hai at the start just means OK, here we go. It is not rude; it is simply efficient.

Why staff keep saying 〜ますね

A large part of the checkup is announced rather than requested. Instead of asking may I take your blood pressure, a nurse says ketsuatsu o hakarimasu ne, I'll take your blood pressure now. The ne softens the sentence and invites agreement, a bit like OK? in English. You are not expected to give permission; a short hai or onegai shimasu is the natural reply.

Learners sometimes freeze, thinking that they missed a question. Listen for the ending: 〜ますか with a rising tone is a question that needs an answer, while 〜ますね is a friendly announcement.

JapaneseRomajiMeaning
血圧を測りますね。Ketsuatsu o hakarimasu ne.Staff: I'll take your blood pressure, OK?
ちょっとチクッとしますね。Chotto chikutto shimasu ne.Staff: You'll feel a little prick.
少し冷たいですよ。Sukoshi tsumetai desu yo.Staff: This will feel a bit cold.
はい、お願いします。Hai, onegai shimasu.You: Yes, go ahead.
お疲れさまでした。Otsukaresama deshita.Staff: All done, thank you.

Mini dialogue: the blood test

The blood test is the station where a little Japanese helps most, because you can mention a fear of needles, a fainting history or the arm that usually works best. Here is a typical exchange at a busy checkup centre.

A nurse prepares a blood test while a patient with a rolled-up sleeve explains that they sometimes feel faint, in a bright clinic room.
One sentence before the needle, saiketsu ga nigate desu, lets staff make the test easier for you.
JapaneseRomajiMeaning
次は採血です。どうぞおかけください。Tsugi wa saiketsu desu. Dōzo okake kudasai.Nurse: Next is the blood test. Please take a seat.
すみません、採血が苦手です。Sumimasen, saiketsu ga nigate desu.You: Sorry, I'm not good with blood tests.
気分が悪くなったことはありますか。Kibun ga waruku natta koto wa arimasu ka.Nurse: Have you ever felt unwell during one?
はい、前に一度ありました。Hai, mae ni ichido arimashita.You: Yes, once before.
では、横になってやりましょうか。Dewa, yoko ni natte yarimashō ka.Nurse: Then shall we do it lying down?
はい、助かります。Hai, tasukarimasu.You: Yes, that would really help.
左腕のほうが採りやすいです。Hidari ude no hō ga toriyasui desu.You: My left arm is usually easier.
はい、終わりました。五分押さえてください。Hai, owarimashita. Gofun osaete kudasai.Nurse: Done. Press on it for five minutes.

Replies that keep things moving

You do not need much. The lines below cover not understanding, asking where to go next, and saying that something is wrong. Keep them polite but short; at a busy checkup, a quick clear reply is more helpful than a long careful one.

JapaneseRomajiMeaning
すみません、もう一度お願いします。Sumimasen, mō ichido onegai shimasu.Sorry, once more, please.
ゆっくり言ってもらえますか。Yukkuri itte moraemasu ka.Could you say it slowly?
次はどこに行けばいいですか。Tsugi wa doko ni ikeba ii desu ka.Where should I go next?
気分が悪いです。Kibun ga warui desu.I feel unwell.
これで全部終わりですか。Kore de zenbu owari desu ka.Is that everything?
結果はいつ届きますか。Kekka wa itsu todokimasu ka.When will the results arrive?

Common learner mistakes

  • Answering every 〜ますね as if it were a question. A simple hai is enough; save longer answers for sentences ending in 〜ますか.
  • Eating breakfast out of habit. If your sheet says no food, even coffee with milk can mean the blood test has to be repeated. Ask beforehand rather than on the day.
  • Saying daijōbu desu to mean no thanks and yes, I'm fine at the same time. If you feel dizzy, say kibun ga warui desu clearly instead of politely insisting you are fine.
  • Talking during the blood pressure reading. Staff may say ohanashi wa chotto, which is a gentle please don't talk.
  • Leaving without the small final step. Some clinics ask you to return the file to reception or to answer a few questions before you go; listen for kochira de saigo desu, this is the last one.

Rehearse the checkup before the day

Ask Mocchi to turn this page into practice: type Quiz me on the instructions Japanese staff give at a health checkup, one at a time. Mocchi gives you a line such as sode o makutte kudasai, asks what you should do, and explains anything you miss. If one form question puzzled you, paste it after /explain and Mocchi breaks the sentence down word by word.

Then take the listening into a spoken scene. In AI Sensei, choose Haru-sensei and the clinic reception topic, and ask Haru-sensei to play a checkup nurse who gives quick instructions in natural speed. Reply out loud, ask for a repeat at least once, and read the corrections in the session report afterwards.

Key points

A practical way to improve

Record yourself reading the staff instructions in this guide at natural speed, then play them back a day later and act each one out without looking: breathe in, hold, relax, roll up the sleeve, lie down. Next, practise the replies in pairs with the instructions, so that hai, wakarimashita comes out automatically. Then say the reception lines aloud with your real details: your name, your company or city programme and whether you skipped breakfast. Mocchi can quiz you on the instructions with /quiz and keeps track of the ones you keep missing, so the next quiz starts with those.

FAQ

Frequently asked questions

What does kenshin mean in Japanese?

Kenshin (健診) is the everyday short form of kenkō shindan (健康診断), a health checkup. You will see both on letters, posters and clinic signs. A more extensive, longer checkup is often called ningen dokku (人間ドック), and it usually includes more tests.

Can I eat before a Japanese health checkup?

It depends on your programme. Many checkups that include a blood test or a stomach examination ask you not to eat from the evening before, and some allow water. The instructions sent with your forms are the rule to follow; if they are unclear, call the clinic and ask Chōshoku wa tabete mo ii desu ka, may I eat breakfast?

What do I say if I do not understand an instruction?

Say Sumimasen, mō ichido onegai shimasu (Sorry, once more, please) or Yukkuri itte moraemasu ka (Could you say it slowly?). Staff are used to nervous patients of every background and will usually repeat the instruction and show you with a gesture.

What should I say if I feel faint during the blood test?

Say Kibun ga warui desu (I feel unwell) straight away, or say Saiketsu ga nigate desu (I'm not good with blood tests) before it starts. Staff can let you lie down for the test or rest afterwards. It is a very common request and nobody will think it strange.