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Developed and maintained by Keith Williamson, MD and Anne-Marie Williamson, MSN,FNP-BC Report problems

This tool has been reviewed by health care providers and is for general educational purposes only. Always consult your health care provider with questions about your individual condition(s) and/or circumstances.

The current H1N1 influenza and seasonal flu outbreaks have patients and healthcare providers concerned. Many people want to be examined; however, current CDC guidelines for patient care during this pandemic demonstrate our understanding that, although very contagious, the flu is essentially self-limiting in healthy people and bringing ill patients into a medical setting runs counter to the public health principle for communicable disease.

Please answer the following questions to determine the likelihood that you have flu and to help make decisions about your plan of care.

1. Did the illness come on abruptly (Did you go from feeling well to feeling ill in a few hours)?

    YES     NO

2. Have you measured a temperature of 100° F or higher?

    YES     NO

3. Do you have a runny nose/nasal congestion, cough or a sore throat?

    YES     NO

4. Do you have body aches?

    YES     NO

5. Is there any rash?

    YES     NO

You must answer all questions and
click submit to go to page two