Discover SCUBA Dive Questionnaire

We are pleased that you are interested interested in Discover SCUBA Lesson and Dive!

Your safety is our number one priority, satisfactory onsite completion of a medical questionnaire is required in order to participate in the Discover SCUBA Diving program. Before you join us please read the questions below carefully and entirely.

  • 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 surgery?
  • 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)?
If you answer “YES” to any of the listed questions, please visit your physician and obtain a letter of consent to participate in this activity.You must provide this letter to your instructor or email a copy to info@fantaseabermuda.com. If you are unable to provide a letter of consent, you will not be able to participate and the 24 hour cancellation policy applies.

Please contact us on 441 236 3483 or info@fantaseabermuda.com with any questions! 

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