Influenza risk assessment tool - Influenza Specialist Group

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Influenza risk assessment tool

Influenza risk assessment tool
Thanks for your interest in influenza and assessing your risk. Questions 1-3 relate to your risk of catching influenza. Questions 4-10 relate to your risk of serious consequences from influenza infection. Please complete all questions and press ‘submit’ in order to receive some information on your risk.
1. Do you work with or spend time with young infants or school-aged children?
Yes No
2. Are you regularly in crowded environments (e.g. on public transport, busy shopping centres, etc)?
Yes No
3. Do you work in or regularly visit a healthcare facility?
Yes No
4. Are you aged 65 years or over?
Yes No
5. Do you have one or more of the following underlying medical conditions:
Heart disease Chronic lung disease (incl. severe asthma) Diabetes Chronic kidney failure Neuromuscular disorders People who have weakened immune defences Yes No
6. Are you pregnant (or could you be during the next influenza season)?
Yes No
7. Are you of Aboriginal or Torres Strait Islander descent and aged 15 years or over?
Yes No
8. Are you a resident of a nursing home or other long-term facility?
Yes No
9. Are you homeless or provide care to homeless people?
Yes No
10. Do you have close contact with anyone listed in the groups above (e.g. live in the same residence or work closely together)?
Yes No

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