Richard’s form
Read the text and fill out the form below on behalf of Richard based on his health condition
Hi, my name is Richard, and I'm an aspiring diver. I don't have diabetes, but I was told by my doctor that my blood pressure is pretty high. I don't have any allergies. Neither do I have sinusitis or bronchitis, but I am prone to catching colds. I don't struggle to do exercise; I work out every day. I have never received a surgery. I have a huge fear of heights. I do not suffer from epilepsy, seizures, or convulsions. I do get small headaches when I work for too long, but they're nothing serious. I have never fainted or lost consciousness.

Have you ever had or do you currently have:
| YES | NO | |
| Frequent issue with your blood pressure or diabetes? |
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| Frequent or severe attacks of hayfever or
allergy? |
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| Frequent colds, sinusitis or bronchitis? |
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| Frequent struggles with perfoming moderate exercise? |
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| A surgery to any part of your body? |
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| Behavioral health, mental or psychological
problems (fear of closed or open space)? |
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| Epilepsy, seizures, convulsions? |
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| Recurring complicated migraine headaches? |
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| Blackouts or fainting? |
Part B (part bi)
Assess the results
In order to pass the medical exam, an aspiring diver needs to say "NO" to at least 6 questions on the form.
Based on the results you previously filled out, do you think Richard is qualified to become a diver?
| YES | NO | |