1. Has your doctor ever said you have heart trouble?
2. Do you frequently have pains in your heart or chest?
3. Do you often feel faint or have spells of severe
4. Has a doctor ever said your blood pressure was too
5. Has your doctor ever told you that you have a bone or
joint problem such as arthritis that has been aggravated
by exercise, or might be made worse by exercise?
6. Is there a good physical reason not mentioned here
why you should not follow an activity program
you wanted to?
7. Are you over age 65 and not accustomed to vigorous