Has your doctor ever said that you have a heart condition and recommended only medically supervised activity?
Do you feel pain in your chest when you do physical activity?
Have you developed chest pain in the past month when not doing physical activity?
Have you on one or more occasions lost consciousness or fallen over as a result of dizziness?
Do you have a bone or joint problem that could be aggravated by the proposed physical activity?
Has your doctor ever prescribed drugs for your blood pressure or heart condition?
Are you aware, through your own physical experience or a doctor’s advice, of any physical reason that would prohibit you from exercising without medical supervision?
Do you suffer from any of the following: Haemophilia, Epilepsy, Migraine, Rheumatoid Arthritis, Diabetes, Back Pain, High Cholesterol?