Have you ever suffered from appendicitis, asthma, high blood pressure, blood-spitting, diabetes, dyspepsia, epilepsy, gout, hernia, paralysis, piles, rheumatism, any skin infection, varicose veins, any disease or disorder of: chest or respiratory system, heart, circulation, vessels, hypertension, heart attack, pain in cardiac area, heart defects, fainting, cardiac rhythm disorders, thrombosis, stroke or, stomach or nervous system? Do you suffer from defective vision? Do you suffer from defective hearing?