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1. Please choose from one of the following symptoms

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2. Do you feel unfit for work today?

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3. Are your symptoms mild and can you manage them at home by yourself?

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4. Will you see your doctor if your symptoms get worse or do not improve within 48 hours?

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5. Do you have a fever over 39 degrees?

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6. Do you have difficulty breathing or chest pain?

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7. Do you have severe, unrelenting vomiting and are unable to keep any fluids down?

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8. Do you have severe pain?

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9. Do you have a sudden onset severe headache worse than any previous headache?

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10. Do you have sudden changes in your vision, dizziness or confusion?

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11. Do you have slurred speech, drooping face, new weakness, or loss of sensation in any limb?

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12. Are you currently located in Australia?

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13. Do you understand everything that is written above or do you require assistance or language interpretation?

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