FACILITY REGISTRATION

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* Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? * Do you feel pain in your chest when you do physical activity? * In the past one month, have you had a chest pain when you were not doing physical activity? * Do you lose your balance because of dizziness or do you ever lose consciousness? * Do you have a bone or joint problem (for example: back, knee, hip injury) that could be made worse by a change in your physical activity? * Is you doctor currently prescribing drugs (For eg: water pills) for your blood pressure or heart condition? * Do you know of any other reason why you should not do physical activity? * Are you facing any health risk?