1) 1) How does your birthday date (day/month/year) ?
2) Which sex do you have ?
Physical condition :
3) How often do you do sport per week on the average in the last months ?
4) How frequently per week did you operate sport in the last five years ?
5) How many times per week in your activists sportiest time did you practice sport ?
6) How many years do practice sport ( at least 1x per week 30 minutes ) ?
7) Did you already participate at the World of Masters Orienteering Championships or the World of Masters Games ?
8) Do you participate regularly on competitions ?
9) If you participate regularly at competition, how often have you participated in the last 5 years (average) ?
10) If you participate regularly at competition, how often have you participated in your activists sportiest time (average per year) ?
11) How many different kind of sports do you practice at the moment ?
12) How many different kinds of sports in your most active sportiest time of your life operated you at the same time ?
13) If you participated at competition, which was your best result ?
14) If you participate at competition which was your best result at category elite ?
15) Do you practice additionally sport for the up part of your body (swim, fitness, gymnastic etc….) ?
16) Do you practice stretching exercises ?
17) Have you ever done a test of performance ?
18) Do you use a cardiotester ?
HEALTH
Which body size do you have ?
20) How is your body weight (approximate) ?
21) How is your approx. quiescent pulse ?
22) Which is your max. heartrate during sport ?
23) What’s your normal systolic blood pressure ?
24) What’s your normal diastolic blood pressure ?
25) Have you ever had an accident of sport ?
1/ none
2/ muscle injuries
3/ fractures
4/ luxations
5/ joints injuries
6/ contusions
7/ does not want to speak of it
26) Have you ever had in your life an accident at work with the following suffering ?
1/ none
2/ muscle injuries
3/ fractures
4/ luxations
5/ joints injuries
6/ contusions
7/ does not want to speak of it
27) You had already following suffering in your life ?
1/ none
2/ muscle injuries
3/ fractures
4/ luxations
5/ joints injuries
6/ contusions
7/ does not want to speak of it
28) You had the follwoing suffering :
1/ none
2/ allergy, Asthma, Rhinitis
3/ heart diseases ( stroke , angina pectoris,high bloodpressure… )
4/ bad infections
5/ metabolic Problemes ( Sugar, Cholesterol… )
6/ abdominal problems ( appendicitis, ileus, ulcer, gluten allergy… )
7/ rheumatism problems ( arthrosis, osteoporosis, different rheumatism… )
8/ deficiencies ( iron, vitamins, magnesium… )
9/ urinary problems
10/ cancers
11/ does not want to speak of it
29) Do you suffer actually :
1/ none
2/ allergy, Asthma, Rhinitis
3/ heart diseases ( stroke , angina pectoris,high bloodpressure… )
4/ bad infections
5/ metabolic Problemes ( Sugar, Cholesterol… )
6/ abdominal problems ( appendicitis, ileus, ulcer, gluten allergy… )
7/ rheumatism problems ( arthrosis, osteoporosis, different rheumatism… )
8/ deficiencies ( iron, vitamins, magnesium… )
9/ urinary problems
10/ cancers
11/ does not want to speak of it
30) You accomplished the last 5 years a medical treatment :
1/ none
2/ alternative medecine ( homeopathy, plants medicine, acupuncture, chinese medicine…. )
3/ conventional medicine
4/ chemotherapy
5/ radiotherapy
6/ surgery
7/ physiotherapy
8/ osteopathy, chiropraxy, manual Medicine
9/ does not want to speak of it
31) Have you diet problems :
32) Smoke :
33) Questions in connection with alcohol :
34) Do you consume drugs :
35) Do you go regularly to an doctor ?
36) What do you examine regularly with your doctor ?
1/ nothing
2/ only clinical investigations
3/ blood values
4/ X-rays
5/ echography
6/ specific investigations
37) Have you ever done a check up for heart and vascular diseases ?
1/ never
2/ elektrokardiogramm
3/ stress test
4/ echocardiography
5/ coronarography
6/ other
38) In which country you live at present ?
QUALITY EVALUATION
39) What do you think of this study ?
40) What is your impression concerning the physical presence (stand) at the WMOC ?
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