S2CLUB SAIPAN Medical check list
feel free to ask anything
Inquiry&Reserve
Tel:1670-285-6071
feel free to ask anything
Inquiry&Reserve
Tel:1670-285-6071
| 1 | Could you be pregnant, or are you attempting to become pregnant ? |
|---|---|
| 2 | Are you presently taking prescription medications ? (with the exception of birth control or anti-malaria) |
| 3 | Asthma, or wheezing with breathing, or wheezing with exercise ? |
| 4 | Any form of lung disease, pneumothorax(collapsed lung), other chest disease or chest surgery ? |
| 5 | Epilepsy, seizures, convulsions or take medications to prevent them ? |
| 6 | High blood pressure or take medicine to control blood pressure ? |
| 7 | Heart disease, or heart attack, Angina, or any heart surgery or blood vessel surgery, bleeding or other blood disorders ? |
| 8 | Ulcers or ulcer surgery ? |
| 9 | A colostomy or ileostomy ? |
| 10 | Any problems following surgery, injury or fracture ? |
| 11 | Behavioral health, mental or psychological problems (panic attack, fear of closed or open spaces) ? |
| 12 | Any dive accidents or decompression sickness ? |
| 13 | Sinus sergery, ear disease or surgery hearing loss or problems with balance ? |
| 14 | Frequent or severe attacks or hayfeber or allergy ? |
| 15 | Frequent or severe suffering from motion sickness (seasick, carsick, etc.) ? |
Are you over 45 years of age and can answer YES to one or more of the following ?
| 16 | currently smoke a pipe, cigars or cigarettes ? |
|---|---|
| 17 | have a high cholesterol level ? |
| 18 | have a family history of heart attack or stroke ? |
| 19 | are currently receiving medical care ? |
| 20 | high blood pressure ? |
| 21 | diabetes mellitus, even if controlled by diet alone ? |
Any questions or concerns, please let us know !
Our staff will get back to you within 24 hours.