Specifications include, but are not limited to: On the day that DNR fitness testing is to be administered: Have the participant fill out the health risk fitness evaluation and consent statement and have this signed by the participant. Conduct a pre-testing EKG and have this reviewed by a physician. The physician should also review the Health Risk Fitness Evaluation questionnaire. If any questions are answered “yes,” the participant should be referred to his/her personal physician for clearance before the testing proceeds. If an individual is taking any medications for heart problems, high blood pressure, asthma, or diabetes, the person should be referred to their personal physician for clearance before proceeding with the testing. Make sure the participant is familiar with the exercise warning signs. Check the pulse and blood pressure of the participant.