Question 1 of 15
Have you recently been in contact with anyone who has had vomiting or diarrhea?
Question 2 of 15
Do you have diarrhea?
Question 3 of 15
Have you noticed any blood in your vomit?
Question 4 of 15
Are you able to hold down fluids?
Question 5 of 15
Have you passed urine in the last 12 hours?
Question 6 of 15
Have you had a high temperature?
Question 7 of 15
Do you have a severe headache?
Question 8 of 15
Do you have abdominal pain?
Question 9 of 15
Are you diabetic?
Question 10 of 15
Do you feel faint, drowsy or confused?
Question 11 of 15
Are you diagnosed with any 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?rn
Question 15 of 15
Would you like to have a video or telephone consultation?