The Personal Health Questionnaire is a prerequisite for participating in a Master of Turns experience. Please take the time to fill in this form accurately, sign, and date it. Your information is confidential and will not be disclosed to insurance partners without your consent.
This Questionnaire and all information including into is strictly confidential. The Organizer shall not release information given in this Questionnaire to any unauthorised third party and shall not use information to any other purpose than evaluating the Participants health condition in order to accept his/her participating in the Master of Turns experience.
Do you have any pre-existing medical conditions? If yes, please provide details. (e.g. prior heart attack/stroke, angina, cardiac arrest/arrhythmia, implantable pacemaker/defibrillator, asthma, COPD, high/low blood pressure, diabetes, epilepsy, fainting episodes, etc)
Have you undergone any surgeries or medical procedures in the last 6 weeks? If yes, please provide details and the dates of the procedures.
Are you currently taking any medication? If yes, please list the medications and dosage.
Have you experienced any recent accidents or injuries that you’re recovering from? If yes, please specify and provide dates.
Have you been advised by a medical professional not to engage in physical activities? If yes, please explain.
Do you have any allergies (food, medication, environmental)? If yes, please specify.
Do you have any history of respiratory conditions or breathing difficulties? If yes, please provide details.
Do you have any other concerns or considerations related to your health that you think the Master of Turns should know?
