Health Check

Health Checklist

Please answer the following questions on your past or present medical history with a YESor NOanswer. If you are not sure, choose YES.

If any of these conditions apply to you, please inform our reservation center at booking@seasir.com when you book with us.
We must request that you consult with a physician prior to participating in any marine sports program that we offer.

Note that failing to disclose such information upon booking automatically releases us of all responsibility in case of any accident occurring during our tours. Participants who are drunk or are drinking alcohol on the day of the activity will not be allowed to participate in our programs.

【Snorkeling】【Parasailing【Whale watching
Jet activities】【Aqua park
Flyboard】【Mangrove kayaking

Check itemes
☐ Could you be pregnant, or are you attempting to become pregnant?
(For safety reasons we cannot let you join an activity or board a ship if you might be with child.)
☐ History of epilepsy, seizures, convulsions or you take medications to prevent them.
☐ History of blackouts or fainting (full or partial loss of consciousness)?
☐ Do you have severe back pains or hernias?
【Introductory diving】【Marine walk】【Leisure diving】
Check itemes
☐ Could you be pregnant, or are you attempting to become pregnant?
(For safety reasons we cannot let you join an activity or board a ship if you might be with child.)
☐ Are you presently taking any medications? (Other than birth control pills or antimalarial medication)
☐ Asthma, infantile asthma, or wheezing with breathing, or wheezing with exercise?
☐ Frequent or severe attacks of hay fever or allergy?
☐ Frequent colds, sinusitis or bronchitis?
☐ Any form of lung disease?
☐ Pneumothorax (collapsed lung)?
☐ Chest disease or chest surgery?
☐ Behavioral health, mental or psychological problems? (Panic attack, fear of closed or open spaces)
☐ History of epilepsy, seizures, convulsions or you take medications to prevent them?
☐ Recurring complicated migraine headaches or take medications to prevent them?
☐ Blackouts or fainting (full or partial loss of consciousness)?
☐ Frequent or severe suffering from motion sickness?
☐ Dysentery or dehydration requiring medical intervention?
☐ Any dive accidents or decompression sickness?
☐ Head injury with loss of consciousness in the past five years?
☐ Recurrent back problems?
☐ Back or spinal surgery?
☐ Diabetes?
☐ Back, arm or leg problems following surgery, injury or fracture?
☐ High blood pressure or take medicine to control blood pressure?
☐ Heart disease or heart attack history?
☐ Angina, heart surgery or blood vessel surgery?
☐ Sinus or any body air space surgery?
☐ Bleeding or other blood disorders?
☐ Recreational drug use or treatment for, or alcoholism in the past five years?
☐ Hyperventilation syndrome?
☐ Do you use full dentures?

If you have any positive answers to any of the questions above:

▲ Please inform our reservation center at booking@seasir.com when you book with us. A positive response means that there is a pre-existing condition that may compromise your safety when diving and you must seek advice from your physician prior to engaging in any activities. Note that failing to disclose such information upon booking automatically releases BERRY of all responsibility in case of any accident occurring during our tours.

▲ We must request that you consult with a physician and issue a medical certification by physician before join our activities.
Here is steps: 
・Step ① Please click and download the “MEDICAL STATEMENT“, please read and agree to the statement above by signing and dating it.
・Step ② Take all three pages of this form to a clinic/hospital to your physician for a medical evaluation. Participation in a diving course requires your physician’s approval. 
・Step ③ Please send it to our reservation center at booking@seasir.com before your activities date by email. 

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