1. Allergies
2. High Blood Pressure
3. Diabetes
4. Tuberculosis
5. Any type of Hepatitis
6. HIV
7. Have you had any serious ailment, injuries or diseases in the last five years?
8. Have you been hospitalized in the last two years
9. Have you ever been treated by a doctor for any mental, emotional, or anxiety disorder?
10. Have you ever been addicted to any substance whether legal or prohibited?
11. Do you have any visual or hearing impairment?
12. Do you have any physical disabilities?
13. Have you ever suffered from depression?
14. Are you taking any prescribed medication?