このフォームに入力するには、ブラウザーで JavaScript を有効にしてください。このフォームに入力するには、ブラウザーで JavaScript を有効にしてください。Pre-Snorkeling Health Check Form This form must be completed by yourself once per day before your first snorkeling session. If you have any physical or mental concerns or notice any changes, please do not hesitate to inform us. Always prioritize safety and refrain from snorkeling if you feel uneasy. 📄 View PDF Original Basic Information get today? in Name *Date *Health Check (9 Items) Please confirm that you can answer “Yes” to all items.Q1:Did you get enough sleep last night and feel well-rested? *YesNoQ2: Do you have a normal appetite today? *YesNoQ3: Are you free from any discomfort or symptoms, such as a hangover? *YesNoQ4: Are you free from fever or flu-like symptoms? *YesNoQ5: Are you free from diarrhea, dehydration, or related symptoms? *YesNoQ6: Are you free from numbness in your limbs or pain anywhere in your body? *YesNoQ7: Are you free from dizziness or lightheadedness? *YesNoQ8: Have you fully recovered from your previous snorkeling session, with no lingering fatigue or body aches? *YesNoQ9: Do you feel physically and mentally ready and willing to snorkel today? *YesNoDeclaration I have reviewed the above precautions and declare that I have no issues with any of the items listed and that I am able to snorkel safely of my own volition.Signature (Please sign so your name is legible) * 署名をクリアー SUBMIT
