Magyar

<p style="text-align: center;">Tisztelt Uram vagy Hölgyem, kérem, szánjon néhány percet az idejéből az alábbi kérdőív kitöltésére.</p>

PoleJam Hungary survey and contract

Which class/classes do you attend? ( You can choose more than one. )

Heart disorder, Heart attack, High/Low blood pressure.   

Joint problems; Scoliosis (a condition in which there is a side to side curve of the spine); Slipped disc(a condition in which the central part of one of the discs between the bones in the spine (= backbone) is squeezed through a tear in the outer part and presses on a nerve, causing pain); Backpain.  

Asthmatic attack. (a medical condition that makes breathing difficult by causing the air passages to become narrow or blocked:)  Yes / No

Have the following medical issues ever happened to you or your family? If yes, which one? 

Have you had any surgical operation in the past 5 years? If yes, what was it?

Are you currently under Orthopedic or Physiotherapic treatment?If yes, which one?

Are you currently under physical therapy / taking any medication?  If yes, what is it? 

Tisztelt Uram vagy Hölgyem, kérem, szánjon néhány percet az idejéből az alábbi kérdőív kitöltésére.

PoleJam Hungary survey and contract

Your full name:

Your age:

Which country do you come from?

How have you found PoleJam?

Which class/classes do you attend? ( You can choose more than one. )

Have the following medical issues ever happened to you or your family? If yes, which one?

Have you had any surgical operation in the past 5 years? If yes, what was it?

Are you currently under Orthopedic or Physiotherapic treatment?If yes, which one?

Are you currently under physical therapy / taking any medication? If yes, what is it?