1. | Have you ever attended or been admitted to hospital? | 627 | 21.2 |
2. | Are you diabetic? | 11 | 0.3 |
3. | Do you wear dentures? | 261 | 8.8 |
4. | Do you regularly or frequently take any medication or other treatment with or without prescription? | 59 | 2.0 |
5. | Have you ever had any form of decompression sickness? | 2 | 0.1 |
6. | Are you currently receiving medical care, or have you consulted the doctor in the past year? | 908 | 31.0 |
7. | Have you ever been refused a diving medical certificate or life insurance or been offered special terms? | 13 | 0.4 |
8. | Has there been any change in your physical or mental health since your last medical? | 23 | 0.8 |
9. | Do you smoke? | 351 | 11.9 |
10. | Have you ever suffered at any time from any of the following: | | |
| (a) Ear trouble, earache, discharge or deafness? | 355 | 12.0 |
| (b) Sinus trouble? | 197 | 6.7 |
| (c) Chest disease, including asthma, bronchitis or TB, pneumothorax, collapsed lung or exposure to dust? | 220 | 7.4 |
| (d) Attacks of giddiness, blackouts and fainting? | 35 | 1.2 |
| (e) Fits or any nervous disorders, including persistent headaches or concussion? | 34 | 1.1 |
| (f) Anxiety, “nerves”, nervous breakdown? | 27 | 0.9 |
| (g) Diseases of the heart and circulation, including high blood pressure, chest pains and palpitation? | 36 | 1.2 |