Request for Certified Divers Programs

Recreational scuba diving and freediving requires good physical and mental health. There are a few medical conditions which can be hazardous while diving, listed below. This Diver Medical Participant Questionnaire provides a basis to determine if you should seek out evaluation from a physician. For your safety, and that of others who may dive with you, answer all questions honestly.Note to women: If you are pregnant, or attempting to become pregnant, do not dive.

1. I have had problems with my lungs,breathing, heart and/or blood affecting my normal physical or mental performance.
2. I am over 45 years of age.
3. I struggle to perform moderate exercise (for example, walk 1.6 kilometer/one mile in 14 minutes or swim 200 meters/yards without resting), OR I have been unable to participate in a normal physical activity due to fitness or health reasons within the past 12 months.
4. I have had problems with my eyes, ears, or nasal passages/sinuses.
5. I have had surgery within the last 12 months, OR I have ongoing problems related to past surgery.
6. I have lost consciousness, had migraine headaches, seizures, stroke, significant head injury, or suffer from persistent neurologic injury or disease.
7. I am currently undergoing treatment (or have required treatment within the last five years) for psychological problems, personality disorder, panic attacks, or an addiction to drugs or alcohol; or, I have been diagnosed with a learning disability.
8. I have had back problems, hernia, ulcers, or diabetes.
9. I have had stomach or intestine problems, including recent diarrhea.
10. I am taking prescription medications (with the exception of birth control or anti-malarial drugs other than mefloquine/Lariam).