Health Questionnaire – One Premium Fitness

Health Questionnaire

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    Health Questions

    Has your doctor ever said that you have had a heart problem?

    In the past month have you had any chest pain when you were doing activity?

    In the past month have you had any chest pain when you were resting?

    Do you suffer from high blood pressure?

    Do you suffer from any bone or joint problems?

    In the past year have you had any major illness or major surgery?

    Have you ever been diagnosed with Diabetes?

    Have you ever been diagnosed with Asthma?

    Have you ever been diagnosed with Epilepsy?

    Have you ever been diagnosed with any other problems?

    Are you pregnant?

    Have you recently had a baby?

    Do you ever lose your balance because of dizziness or lose consciousness?

    Are you feeling unwell at present due to cold etc?