Have you ever had any operations?
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Have you ever been in hospital for any reason not mentioned?
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Are you taking any medication at present?
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Are you receiving any other medical treatment?
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Is there anyone in your family who has heart disease, high blood pressure, diabetes, asthma, dermatitis, cancer or other serious illness?
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Have you been immunised against tetanus?
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Have you been immunised against hepatitis B?
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Have you had a BCG (tuberculosis) vaccination?
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High blood pressure
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Persistent cough
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Shortness of breath
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Chest pains
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Asthma, bronchitis or tuberculosis
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Dizzy spells or blackouts
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Fits, faints or epilepsy
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Persistent headaches, migraine
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Head injury
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Any nervous or mental illness
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Skin trouble
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Varicose veins
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Stomach, bowel, liver or gall bladder trouble
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Kidney, bladder or urinary trouble
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Any broken bones or dislocations
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Any other bone, joint, muscle or tendon trouble
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Diabetes, thyroid trouble
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Eye trouble
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Ear trouble, including deafness
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Allergies
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Cold, tingling or numbness of hands or feet
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Is there any other condition that you suffer that may
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prevent you from performing the inherent requirements
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of the course (both practical and theory)?
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I do not have any health issues
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