Common use of Excellent Clause in Contracts

Excellent. Do you take any medications prescribed by your physician? Yes No If yes, please specify: Are you currently being treated for any heart problems? Yes No If yes, please explain: Do you have a past history of heart problems? Yes No Heart Attack Pacemaker By-Pass Surgery Angioplasty Valve Replacement Stent Placement Have you ever had a stress test? Yes No When: Have you ever had a cardiac catheterization? Yes No When: Are you currently involved in a physical or occupational therapy program? Yes No If yes, please explain: Have you had any surgeries in the past 6 months? Yes No If yes, please explain. Physical Activity Readiness Questionnaire Yes No