Fit Test Questionnaire
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Email *
Name
Date of Birth
MM
/
DD
/
YYYY
Semester
Today's Date
MM
/
DD
/
YYYY
Have you completed all medical requirements needed to be health cleared on ADB?
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Do you suffer from any illness or conditions that should prevent you from being Fit Tested?
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Do you have any allergies? Especially to Saccharin? If yes please list all allergies.
Is there any reason why you feel you should not be fit tested today? 
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A copy of your responses will be emailed to the address you provided.
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