YES

NO

1.

Do nasal symptoms trigger starts or worsen when you come into the working environment?

2.

Do nasal symptoms trigger of or worsen when you enter the power plant or its environ

3.

Do you have nasal symptoms improved during the weekend, when off or on leave?

4.

Do you have eye symptoms at work such as tears coming out of your eyes?

5.

Do you have eye symptoms at work such as itching?

6.

Have you ever experience breathlessness at work?

7.

Have you ever experienced chest tightness at work?

8.

Have you ever experienced breathlessness and chest tightness at the same time when at work?

Does the symptom disappear at weekends, when off or on leave?

9.

Have you ever, even when not having a cold or flu had sneezing or nose itching at work?

10.

Have you ever, even when not having a cold or flu had running nose at work?

11.

Have you ever, even when not having a cold or flu had nose blockage at work?