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1. Is your throat Reports sore throat
sore?
2. Is your throat Reports itchy throat
itchy?
3. Are your eyes Reports itchy eyes
itchy?
4. Do you have a Reports runny nose
runny nose?
5. How long has began 1 week ago
your throat been
sore?
6. When did your began 1 week ago
nose start run-
ning?
7. When did your began 1 week ago
eyes start itch-
ing?
8. is the throat pain constant throat pain
constant
9. when does your worse in morning
throat pain feel
the worst
10. does it hurt when soreness with swallowing
you swallo
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11. rate throat pain mild to moderate throat discomfort
on 1-10 scale
12. how often does constant runny nose
your nose run
13. does your nose denies
itch
14. do you have si- denies
nus pain
15. do you have si- no
nus pressure
16. are you sneezing no
17. what color is your clear
mucus
18. is the mucus thin mucus
thick
19. does your mucus denies
have pus in it
20. do your eyes con- constant itching
stantly itch
21. are your eyes red reports eye redness
22. not affected
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have you had
changes in your
breathing
23. do you have a denies
cough
24. do you have denies
chest tightness
25. have you been denies
wheezing
26. has your asthma denies
worsened
27. do you know allergy like symptoms
what is causing
your symptoms
28. do you think you no cold symptoms
have a cold
29. do you think similar symptoms to sister's hay fever
you're having an
allergic reaction
30. have you treat- denies
ed your eyes with
anything
31. denies