1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
No Yes

2. Do you feel pain in your chest when you do physical activity?
No Yes

3. In the past month, have you had chest pain when you were not doing physical activity?
No Yes

4. Do you lose your balance because of dizziness, or do you ever lose consciousness?
No Yes

5. Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity?
No Yes

6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?
No Yes

7. Do you know of any other reason why you should not do physical activity?
No Yes

PLEASE NOTE: If your health changes so that you then answer YES to any of the above questions, tell your fitness or health professional. Ask whether you should change your physical activity plan.

DELAY BECOMING MUCH MORE ACTIVE: If you are not feeling well because of a temporary illness such as a cold or a fever – wait until you feel better; or if you are or may be pregnant – talk to your doctor before you start becoming more active.