Medical Questionnaire

If the above condition(s) is/are present, answer questions 3a-3d

3a. Do you have difficulty controlling your condition with medications or other physician-prescribed therapies?
(Answer No if you are not currently taking medications or other treatments)

3b. Do you have an irregular heart beat that requires medical management?
(e.g., atrial fibrillation, premature ventricular contraction)

3c. Do you have chronic heart failure?

3d. Do you have diagnosed coronary artery (cardiovascular) disease and have not participated in regular physical activity in the last 2 months?

If the above condition(s) is/are present, answer questions 4a-4b

4a. Do you have difficulty controlling your condition with medications or other physician-prescribed therapies?
(Answer No if you are not currently taking medications or other treatments)

4b, Do you have a resting blood pressure equal to or greater than 160/90 mmHg with or without medication?
(Answer Yes if you do not know your resting blood pressure)

If the above condition(s) is/are present, answer questions 5a-5e

5a. Do you often have difficulty controlling your blood sugar levels with foods, medications, or other physician- prescribed therapies?

5b. Do you often suffer from signs and symptoms of low blood sugar (hypoglycemia) following exercise and/or during activities of daily living? Signs of hypoglycemia may include shakiness, nervousness, unusual irritability, abnormal sweating, dizziness or light-headedness, mental confusion, difficulty speaking, weakness, or sleepiness.

5c. Do you have any signs or symptoms of diabetes complications such as heart or vascular disease and/or complications affecting your eyes, kidneys, OR the sensation in your toes and feet?

5d. Do you have other metabolic conditions (such as current pregnancy-related diabetes, chronic kidney disease, or liver problems)?

5e. Are you planning to engage in what for you is unusually high (or vigorous) intensity exercise in the near future?

This includes Alzheimer’s, Dementia, Depression, Anxiety Disorder, Eating Disorder, Psychotic Disorder, Intellectual Disability, Down Syndrome

If the above condition(s) is/are present, answer questions 6a-6b

6a. Do you have difficulty controlling your condition with medications or other physician-prescribed therapies?
(Answer NO if you are not currently taking medications or other treatments)

6b. Do you have Down Syndrome AND back problems affecting nerves or muscles?

This includes Chronic Obstructive Pulmonary Disease, Asthma, Pulmonary High Blood Pressure

If the above condition(s) is/are present, answer questions 7a-7d

7a. Do you have difficulty controlling your condition with medications or other physician-prescribed therapies?
(Answer No if you are not currently taking medications or other treatments)

7b. Has your doctor ever said your blood oxygen level is low at rest or during exercise and/or that you require supplemental oxygen therapy?

7c. If asthmatic, do you currently have symptoms of chest tightness, wheezing, laboured breathing, consistent cough (more than 2 days/week), or have you used your rescue medication more than twice in the last week?

7d, Has your doctor ever said you have high blood pressure in the blood vessels of your lungs?

This includes Tetraplegia and Paraplegia

If the above condition(s) is/are present, answer questions 8a-8c

8a. Do you have difficulty controlling your condition with medications or other physician-prescribed therapies?
(Answer No if you are not currently taking medications or other treatments)

8b. Do you commonly exhibit low resting blood pressure significant enough to cause dizziness, light-headedness, and/or fainting?

8c. Has your physician indicated that you exhibit sudden bouts of high blood pressure (known as Autonomic Dysreflexia)?