Your age
Gender
Country
County/State
Month you caught swine flu
How do you know you had swine flu?(pick one)
How do you think you caught swine flu?(pick one)
What were your main swine flu symptoms?(tick any that apply)
How bad were your swine flu symptoms?(pick the most relevant)
How long did your swine flu symptoms last?(pick one)
Did you change your normal routine once you thought you had swine flu?(tick any that apply)
Do you have any other health concerns?(tick any that apply)
Were you offered anti-viral medicine such as Tamiflu® or Relenza®?(tick any that apply)
Did new symptoms start after you took anti-viral medication?(tick any that apply)
Did you take any other medication for your swine flu symptoms?(tick any that apply)
Do you think health service information and advice about swine flu has been clear?
Please supply your rating from 1 (=Awful) to 5 (=Excellent) On how to reduce the risk of catching swine flu -- 1 2 3 4 5 On what to do when discovering symptoms -- 1 2 3 4 5 On when to seek advice from health professionals -- 1 2 3 4 5 On how to obtain advice from health professionals -- 1 2 3 4 5 On what treatment to expect from health professionals -- 1 2 3 4 5 On how to treat swine flu at home -- 1 2 3 4 5 On the likely severity of swine flu for members of the public -- 1 2 3 4 5 On those at most risk of having a bad attack of swine flu -- 1 2 3 4 5 On the risks of treatments for swine flu -- 1 2 3 4 5
Comment
Do you have any advice about swine flu to pass on?
Comment
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