Discover Scuba Diving Medical Questionnaire

The purpose of this Medical Questionnaire is to find out if you should be examined by a physician before participating in recreational scuba diving. A positive response to a question does not necessarily disqualify you from diving. A positive response means that there is a preexisting condition that may affect your safety while diving and you must seek the advice of a physician.

Please answer the following questions on your past and present medical history with a YES or NO. If you are not sure, answer YES. If any of these items apply to you, we must request that you consult with a physician prior to participating in scuba diving.

You can download a PADI Medical Statement and Guidelines for Recreational Scuba Diver's Physical Examination to take to a physician.
 

Medical Questionnaire
Do you currently have an ear infection?
Do you have a history of ear disease, hearing loss or problems with balance?
Do you have a history of ear or sinus surgery?
Are you currently suffering from a cold, congestion, sinusitis or bronchitis?
Do you have a history of respiratory problems, severe attacks of hayfever or allergies, or lung disease?
Have you had a collapsed lung (pneumothorax) or history of chest surgery?
Do you have active asthma or history of emphysema or tuberculosis?
Are you currently taking medication that carries a warning about any impairment of your physical or mental abilities?
Do you have behavioral health, mental or psychological problems or a nervous system disorder?
Are you or could you be pregnant?
Do you have a history of colostomy?
Do you have a history of heart disease or heart attack, heart surgery or blood vessel urgery?
Do you have a history of high blood pressure, angina, or take medication to control blood pressure?
Are you over 45 and have a family history of heart attack or stroke?
Do you have a history of bleeding or other blood disorders?
Do you have a history of diabetes?
Do you have a history of seizures, blackouts or fainting, convulsions or epilepsy or take medications to prevent them?
Do you have a history of back, arm or leg problems following an injury, fracture or surgery?
Do you have a history of fear of closed or open spaces or panic attacks (claustrophobia or agoraphobia)?

 

You can download a PADI Medical Statement and Guidelines for Recreational Scuba Diver's Physical Examination to take to a physician.
 

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