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1.
Please choose from one of the following symptoms
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Common cold or flu
Headache or migraine
Low back pain
Period pain
Dental pain
Mental health problem
Food poisoning or stomach upset
Hay fever or allergies
Other
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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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