Professional Documents
Culture Documents
YES NO
Hasyourdoctoreversaidthatyouhaveaheartconditionandrecommendedphysical
activity only under medical supervision?
Inthepastmonth,haveyouhadpaininyourchestwhenyouarephysicallyinactiveor
active?
Doyouhaveproblemsinbreathingwhenyouarephysicallyinactiveoractive?
Did you ever fall because of dizziness or have you ever lost consciousness?
Doyouhaveboneorjointproblemsthatcouldbemadeworstwhenyouarephysically
active?
Has a doctor ever prescribed you of drugs for high blood pressure or heart or
breathing problems?
Are you or may not be pregnant?
Do you know any reason why you should not do physical activity?
*As adapted from the uploaded file of Jonas David Finger at researchgate
Note:PleasegivenarrativedetailsifyouhaveansweredYEStoanyofthequestion.Pleasefurnishtheteacherofacopy
ofyourmedicalrecordsifany.
PrepAredby:ANTHONYATIENZA&PEFACULTYMEMBERS
PE Department
UniversityofSanAgustin
PrepAredby:ANTHONYATIENZA&PEFACULTYMEMBERS
PE Department
UniversityofSanAgustin