No

Yes

1

Have you caught a cold?

0

1

2

Have you felt headache?

0

1

3

Have you had sore throat?

0

1

4

Have you had runny nose or sinus congestion?

0

1

5

Have you had a cough?

0

1

6

Have you had stomachache?

0

1

7

Have you had diarrhea?

0

1

8

Have you felt pain in any parts of your body?

0

1