Question 1 of 15
Have you had a high temperature
Question 2 of 15
Do you have symptoms of a cold (e.g. sore threat, runny nose)?
Question 3 of 15
Do you feel short of breath on minimal activity (walking a short distance) with your cough?
Question 4 of 15
Do you have a wheeze (whistling sound) when you breath?
Question 5 of 15
Have you been experiencing excessive sweating at night?
Question 6 of 15
Have you had a continuous cough for more than 6 weeks?
Question 7 of 15
Have you coughed up any blood ?
Question 8 of 15
Do you have a sharp pain in your chest when taking a deep breath?
Question 9 of 15
Have you experienced any unexpected weight loss recently?
Question 10 of 15
Do you feel faint like you may collapse, drowsy or confused?
Question 11 of 15
Do you have any other health conditions?
Question 12 of 15
Are you currently taking any medications?
Question 13 of 15
Do you have any allergies?
Question 14 of 15
Is there any further information you would like to provide?
Question 15 of 15
Would you like to have a video or telephone consultation?