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Health questionnaire
Complete the following health questionnaire. The exercise readiness questionnaire will give you an idea of your current health status, whether you can begin to exercise straight away, or whether you should consult a GP before you commence a new exercise programme.

Aim to answer all 12 questions as truthfully as possible.

Section 1

I am 45 yr. or older
yes     no

I have been inactive for the past 12 months
yes     no

A blood relative has suffered heart disease
yes     no

I have elevated cholesterol levels
yes     no

I am a Type II diabetic
yes     no

I have high blood pressure
yes     no

Section 2

Do you have a heart condition?
yes     no

Do you experience chest pains when exercising?
yes     no

Have you ever experienced chest pains when NOT exercising?
yes     no

Do you feel dizzy / lose your balance / ever lost conciousness?
yes     no

Do you suffer from any joint problems?
yes     no

Do you take prescribed drugs for health reasons?
yes     no

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