| Tobacco Use |
No Use of nicotine products in past 5 years |
No use of niciotine products in past 3 years |
No use of nicotne products in past 1 year |
| Blood Pressure |
No history of blood pressure treatment |
A history of blood pressure treatment may or may not be acceptable |
blood pressure treatment is acceptable if controlled |
| Blood Pressure Rating |
Current and historical reading of less than 140/85 ages 18-60
150/90 - ages 61 & over |
Current and historical readings of less than: 150/90 ages 18-60
155/90- ages 61 & over |
Averages readings in the past 2 years of less than :150/90-ages 18-60
155/95-ages 61 & over |
| Cholesterol |
Level may not exceed 200 |
Level may not exceed 230 |
Level may not exceed 280 |
| Cholesterol /Hdl Ratio |
Less than 5.00 |
Less than 6.5 |
Less than 7.5 |
| Personal Medical History |
No personal history of any health conditions including but not limted to: heart of vascular disease, diabetes, cancer or melanoma, disorder oflungs, liver, kidney or mental/nervous disorder , rheumatoid arthritis, stroke, kidney stone, gasric/peptic ulcer, ulcerative colitus and asthma |
No personal history of any health conditions including but not limted to: heart of vascular disease, diabetes, cancer or melanoma, disorder oflungs, liver, kidney or mental/nervous disorder, rheumatoid arthritis, stroke, gastic/peptic ulcer, ulcerative colius and asthma |
Can have personal history of certain diseases |
| Avocation |
No participation in hazardous activities(e.g. hangl-gliding ultralight, skydiving, powered vehicle racing, mountain climbing, rodeos or scuba diving) within the past two years. |
May pariticpate in some hazardous activities(e.g hang-gliding , ultralight skydiving powered vehicle racing, mountain climbing, rodeos or scuba diving) within the past two years |
May participate insome hazardous activities(eg hang-gliding ultralight , skydiving powered vehicle racing ,mountain climbing, rodeos orscuba diving ) within the past two years |
| Aviation |
No participation in private aviation activities Commercial airline pilots may qualify |
May participate in aviation activities. Must not be a student pilot |
May participate in aviation activities , Must not be a student pilot |
| Family History |
No incidence or manisfestation of disease /death in either parent or siblings before age 60 |
No death of either parent or siblings before age 60 |
No incidence of cancer death of parents before age 60 |
| Driving Record |
No more than 1 moving violation in the past 2 years , No record of DUI or reckless driving |
No more than 1 moving violation in the past 2 years . No record of DUI or reckless driving in the past 5 years |
No more than 2 moving violations in the past 3 years . NO record of DUI or reckless driving in the past 2 years |
| Mental Illness/Depression |
No history of mental illness or depression |
No history of mental illness or depression |
A history of mental illness or depression may be acceptable |
| Cancer History |
No cancer history of any kind |
No cancer history of any kind (except basal cell carcinoma |
A history of cancer may be acceptable |
