Date Well Unwell If unwell what is wrong Breathless Fatigued Chest pain Nausea Other please specify How have you been feeling since your last class Well Unwell If unwell what was wrong Breathl ID: 209404
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Date How are you feeling today? Well Unwell If unwell what is wrong: Breathless Fatigued Chest pain Nausea Other (please specify) How have you been feeling since your last class? Well Unwell If unwell what was wrong? Breathless Fatigued Chest pain Nausea Other (please specify) Have you completed any physical activity since your last class? Yes No If yes, what physical activity did you do? Before class Blood pressure Heart Rate After Class Blood pressure Heart Rate Date How are you feeling today? Well Unwell If unwell what is wrong: Breathless Fatigued Chest pain Nausea Other (please specify) How have you been feeling since your last class? Well Unwell If unwell what was wrong? Breathless Fatigued Chest pain Nausea Other (please specify) Have you completed any physical activity since your last class? Yes No If yes, what physical activity did you do? Before class Blood pressure Heart Rate After Class Blood pressure Heart Rate Date How are you feeling today? Well Unwell If unwell what is wrong: Breathless Fatigued Chest pain Nausea Other (please specify) How have you been feeling since your last class? Well Unwell If unwell what was wrong? Breathless Fatigued Chest pain Nausea Other (please specify) Have you completed any physical activity since your last class? Yes No If yes, what physical activity did you do? Before class Blood pressure Heart Rate After Class Blood pressure Heart Rate