angel girl
New member
I need to find the strength and weakness of this form i have found some that i think are weakness but then i think no wait they are strentht so if you could just help me a little bit or just give me some advice in what you think so i can go over it again thanks
NAME:
ADDRESS:
DATE OF BIRTH: dd / mm / yy AGE: SEX:
PHONE:
MOBILE:
EMAIL:
EMERGENCY CONTACT NAME:
EMERGENCY CONTACT PHONE:
HAVE YOU EVER HAD OR DO YOU HAVE?YesNo
Anyone in family under 60 suffer heart disease/stroke/raised cholesterols or sudden death?
Are you male over 35 or female over 45 and not used to vigorous exercise?
Are you on prescribed medication?
Have you given birth within the last 6 weeks?
Are you pregnant?
Do you have any infectious diseases?
Have you been hospitalised recently?
Are you physically inactive?
Do you smoke?
DO YOU HAVE OR HAD?
GOUT? ANY HEART CONDITION?
STROKE?RHEUMATIC FEVER?
DIABETES?HEART MURMUR?
EPILEPSY?DIZZINESS or FAINTING?
HERNIA? HIGH BLOOD PRESSURE > 140/90?
STOMACH / DUODENAL ULCER? TAKE BLOOD PRESSURE MEDICATION?
PALPITATIONS / PAIN IN CHEST?LIVER OR KIDNEY CONDITION
RAISED CHOLESTEROL > 240 mg/dl?ARTHRITIS
GLANDULAR FEVER ?ASTHMA
NAME:
ADDRESS:
DATE OF BIRTH: dd / mm / yy AGE: SEX:
PHONE:
MOBILE:
EMAIL:
EMERGENCY CONTACT NAME:
EMERGENCY CONTACT PHONE:
HAVE YOU EVER HAD OR DO YOU HAVE?YesNo
Anyone in family under 60 suffer heart disease/stroke/raised cholesterols or sudden death?
Are you male over 35 or female over 45 and not used to vigorous exercise?
Are you on prescribed medication?
Have you given birth within the last 6 weeks?
Are you pregnant?
Do you have any infectious diseases?
Have you been hospitalised recently?
Are you physically inactive?
Do you smoke?
DO YOU HAVE OR HAD?
GOUT? ANY HEART CONDITION?
STROKE?RHEUMATIC FEVER?
DIABETES?HEART MURMUR?
EPILEPSY?DIZZINESS or FAINTING?
HERNIA? HIGH BLOOD PRESSURE > 140/90?
STOMACH / DUODENAL ULCER? TAKE BLOOD PRESSURE MEDICATION?
PALPITATIONS / PAIN IN CHEST?LIVER OR KIDNEY CONDITION
RAISED CHOLESTEROL > 240 mg/dl?ARTHRITIS
GLANDULAR FEVER ?ASTHMA