Medical questionnaire

Here are questions that you should ask to your doctor before getting aboard a balloon:

• Have you had recent surgery ? If yes, specify the type of operation ?
• Have you had a recent sprain, fracture or dislocation ?
• Are you pregnant ?
• Do you wear a prosthesis ?
• Do you suffer from a respiratory problem ?
• Do you suffer from a heart problem ?
• Do you suffer from a particular psychic or psychatric problem ?
• Do you suffer contagious desease ?
• Are you able to step over a 1,20 m high platform with 2 footboards spaced 40 cm apart ?
• Are you able to stand without help for at least an hour and a half ?
• Are you able to keep your knees bent for a few minutes ?
• Do you suffer from other pathologies not specified in this questionnaire ?