Personal medical form

Name *
Your email *
1. Do you have chronic musculoskeletal disorders or recent injuries?
If the answer is “Yes”, please specify.
2. Do you have diseases of the cardiovascular or other system?
If the answer is “Yes”, please specify.
3. Do you have proven allergies, asthma, epileptic seizures, insulin dependence?
If the answer is “Yes”, please specify.
How do you rate your physical condition from 1 to 5 (1- feel difficulty climbing more steps, 5 - I feel fit to participate in amateur mountain marathon).
Other information:
PRIVACY POLICY *