Check the box in Column A or Column B that most closely fits your symptoms.
(If you do not have a thermometer, you may purchase one at the Student Health Service Cashier’s window or at any drug store. Temperatures below are in degrees Fahrenheit.)
Symptom
Column A
Column B
1.
Fever
No fever or fever less than 100.5 which has lasted 7 days or less
Fever more than 102 today or fever of 100.5 or more for 3 days or longer
2.
Severe sore throat with significant difficulty swallowing saliva
No
Yes
3.
Sore throat for more than 7 days
No
Yes
4.
Sore throat with white patches in the back of the throat
No
Yes
5.
Painful swelling of the lymph nodes or glands of the neck
No
Yes
6.
Facial tenderness
No or Mild
Moderate or Severe
7.
Colored nasal mucus
None or less than 7-10 days
More than 7-10 days
8.
Cough
None or less than 5 days with clear to yellow mucus
Yellow or green mucus for 5 days or more or bloody mucus
9.
Cough with no other symptoms for more than 2 weeks
No
Yes
10.
Shortness of breath or labored breathing
No
Yes
11.
Wheezing
No
Yes
12.
Headaches
Moderate or Mild
Severe
13.
Ear pain
No or Mild
Moderate or Moderate or severe
14.
Red rash over body
No
Yes
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