Have you had any serious illnesses or operation, x-ray or similar test and when?
Do you suffer from Asthma, Diabetes, Hypertension, Heart Condition any Neurological? Condition, Mental health, Depression?
Do you have HIV, Hep B or Hep C?
Are you taking any medications?
Are you allergic to any medicine or anything else?
Is there any of the following in your family (father, mother, brother, sister) before age of 65? (Heart attack, Asthma, High blood pressure, Diabetes, Stroke, Tuberculosis)
Which vaccination have you had and when?
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