Diver Medical | Participant Questionnaire (Confidential)
Diving requires good physical and mental health. There are some medical conditions that can be dangerous during practice of diving, and which are listed below.
Those who have or are predisposed to any of these conditions should be evaluated by a doctor. This Dive Physician Questionnaire provides a basis for determining whether you should seek such an evaluation.
If you have concerns about your scuba fitness that are not represented on this form, please consult your physician before diving.
References to “diving” in this form encompass both Recreational diving with autonomous equipment such as freediving. This form is primarily designed as an initial medical examination for new divers, but is also appropriate for divers receiving continuing education.
For your safety and the safety of others who may dive with you, please answer all questions honestly.
Please complete this questionnaire as a prerequisite for freediving or scuba training.
For women: If you are pregnant, or trying to become pregnant, do not dive.