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Please fill out the form below.
Thank you. Noå.
Has your doctor ever said that you have a heart condition?
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Yes
No
Do you feel pain in your chest when you perform physical activity?
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Yes
No
Do you lose your balance because of dizziness or do you ever lose consciousness?
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Yes
No
Has your doctor ever said that you have a high blood-pressure?
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Yes
No
Do you have a bone or joint problem (for example back, knee or hip) that could be made worse by a change in your physical activity?
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Yes
No
Do you know of any other reason why you should not engage in physical activity?
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Yes
No
Is your doctor currently prescribing any medication for your blood pressure or for a heart condition?
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Yes
No
Is there any link in the family as regards heart complaints or high blood pressure?
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Yes
No
Do you have or is there any link in the family as regards, diabetes (type I/II)?
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Yes
No
Do you smoke?
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Yes
No
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