Regarding yourself have you suffered any major illness/operations, e.g. cancer, TBC, heart problems, diabetes, etc.
Do you suffer from / have you suffered from high blood pressure?
Do you have any allergies?
Have you ever suffered in the past any infectious diseases? (e.g. hemopathia A, B, salmolosis, typhus)
Are you under any instructions/prescriptions from your doctor?
Please state ages(s) of children, and any problems while giving birth. Cesarian etc.
