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About Us
Tarot Reading
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Contact Us
Appointment
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Have your physician advised you that you suffer from heart condition ?
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Do You Feel Pain in your chest ?
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While Resting
During Regular Day to day Activity
During Excersise
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Have you during the last year ?
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Lost your balance as a result of dizziness
Lost consciousness
No
Has your physician diagnosed asthma, and as a result in the last three months- ?
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You have required medicine
You have suffered from shortness of breath, or wheezing
You have asthama but not suffered from above
Do not have asthma
Has your physician told you in the last five years only to undertake physical activity under supervision
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Yes
No
Do you suffer from any long-term/chronic condition, which is not mentioned above
For pregnant women: Has this, or any previous, pregnancy been diagnosed as high risk
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