Royal Marines Fitness Tests - Royal Navy PDev Portal

Royal Marines Fitness Tests
DECLARATION OF HEALTH QUESTIONNAIRE (DHQ)
The following declaration must be completed and signed by personnel over the
age of 49 before carrying out the mandated RM BFT. It is to be handed to the
PT Staff prior to commencing testing:
Name: Rank/Rate
Official No:
Date of Birth:
Weight:
kgs.
1. Personnel 50+ are to address the following questions before undertaking any form of
formal physical training package:
Personal Medical History:
a. Are you currently in a reduced medical category (not JMES MFD - A4/1 L1 M1 E1) or
currently under review or treatment by any medical authority?
YES / NO
b. Are you currently taking or using any form of medication, drugs, tablets, inhalers,
creams, lotions, or other preparations?
YES / NO
c. Have you suffered from in the past, or currently suffer from any of the following
conditions or symptoms:
YES / NO
Declaration of Health Questionnaire
(1) Asthma, wheezing, shortness of breath or other breathing problems.
(2) High blood pressure, heart problems or chest pains.
(3) Fits, faints or blackouts.
(4) Epilepsy
(5) High Blood Cholesterol
(6) Have a history of heart problems, heart murmurs or irregular heartbeats
(7) Have had a severe viral infection (e.g. myocarditis or mononucleosis) within last
month
(8) Back problems, joint, ligament, or muscle strains/injury.
(9) Hernia or rupture, active piles.
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