How to Prepare for Chadder Trek: What is High Altitude Visitors Health Questionnaire and Advisory Form?

 

The latest Chadder Trek order advises the trek organizers to ensure that the trekkers fill High Altitude Visitors Health Questionnaire and Advisory form and undergo a medical examination before starting the trek. Let’s take a look at the contents of the 2-part form.

Part –I: To Be Filled and Signed by the Trekkers

Identity:

  • Name
  • Age
  • Sex
  • Date of Birth
  • Residence address
  • Altitude of Native Place
  • Date of Arrival

Medical Details:

  • Past history of high altitude illness (if any)
  • History of Chronic Diseases:
    • Cardiac Disease
    • Diabetes
    • Hypertension
    • Lung Disease
    • Sickle Cell Disease/Trait
  • Present Acute Illness
    • Blurring of vision
    • Breathlessness
    • Cough
    • Cold/flue
    • Decreased appetite
    • Diarrhea/Dysentery
    • Dizziness/giddiness
    • Drowsiness/sleepiness
    • Fever
    • Headache
    • Lack of sleep
    • Nausea/vomiting
    • Pink Forth Sputum
    • Severe pain in abdomen
    • Symptoms of Altitude Illness
    • Unconsciousness
    • Unsteady gait

 

Part –II: To Be Filled by the Doctor working at SNM Hospital, Leh

General Examination

  • Abdomen
  • Blood Pressure
  • Chest
  • CNS (Central Nervous System)
  • CVS (Cardiovascular System)
  • Oxygen Saturation
  • Pulse

Diagnosis and Remarks

 

 

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