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-- select your program -- CHEO Active

Some people can do any type of physical activity. Other people need to avoid certain types of physical activity. Please answer the following questions to let us know what types of physical activity are appropriate for you.

Are you able to:

1. Play competitive sports or on rep/travelling teams?
   Yes No
2. Play recreational sports or on house league teams?
   Yes No
3. Do activities where people intentionally bump into each other?
   Yes No
4. Do activities where people often bump into each other but it is not intentional?
   Yes No
5. Do activities that make your breathing go as fast as it can?
   Yes No
6. Do activities that make your breathing go a little faster?
   Yes No
7. Do activities that make your heart beat really fast?
   Yes No
8. Do activities that make your heart beat faster?
   Yes No
9. Do activities where you suddenly move really fast (e.g., sprinting, basketball)?
   Yes No
10. Push or pull as hard as you can?
    Yes No
11. Push or pull so hard that you hold your breath?
    Yes No