21. Hip replacement?
22. Joint problems, pains, injuries or arthritis?
23. Kidney or bladder disease?
24. Liver disease (eg Jaundice, hepatitis, cirrhosis)?
25. Lung disease (eg asthma, bronchitis, emphysema, tuberculosis)?
26. Migraine or frequent headaches?
27. Night blindness or problem seeing at low levels of illumination?
28. Occupational overuse syndrome (OOS) or repetitive strain injury (RSI) eg Tendonitis, Carpel Tunnel Syndrome?
29. Problem with balance or coordination?
30. Sensitivity to chemicals, dust, fumes, solvents or other substances?
31. Do you suffer from fear of heights?
32. Epilepsy, fainting attacks, fits, blackouts or head injury?
33. Eye/vision problems (including wearing glasses or contact lenses)?
34. Foot problems or problems with footwear?
35. Fractured bones?
36. Have you been absent from work or full time education through illness or injury for two or more weeks at any time?
37. Skin disease (eg psoriasis, dermatitis, eczema)?
38. Tennis elbow or golfer’s elbow?
39. Thyroid disease?
40. Upper limb or shoulder pain?
41. We have a Rare-Earth Magnet in operation in the Clean Room. Magnetic fields can affect the operation of pacemakers or internal medical devices. Do you have a pacemaker or internal medical device?
42. Any other medical condition, physical or mental, not mentioned above?
43. Have you travelled abroad within the last 3 months?
