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  1. 1
  2. Do you sneeze frequently?
  3. .
  4. 2
  5. Do you have sore or watery eyes?
  6. .
  7. 3
  8. Is your throat sore?
  9. .
  10. 4
  11. Is your voice hoarse?
  12. .
  13. 5
  14. Do you cough a great deal?
  15. .
  16. 6
  17. Is your nose runny?
  18. .
  19. 7
  20. Do you have headaches?
  21. .
  22. 8
  23. Do you have a fever, (greater than 100F)?
  24. .
  25. 9
  26. Are you exposed frequently to very dusty places?
  27. .
  28. 10
  29. Does your skin itch?
  30. .
  31. 11
  32. Does your throat feel dry?
  33. .
  34. 12
  35. Do you wheeze when you breath?
  36. .
  37. 13
  38. Is your nose congested?
  39. .
  40. 14
  41. Have you recently had the flu?
  42. .
  43. 15
  44. Do you feel ill in general?
  45. .
  46. 16
  47. Do you have difficulty swallowing?
  48. .
  49. 17
  50. Do you have sore muscles?
  51. .
  52. 18
  53. Do you have any pain or discomfort in your chest?
  54. .
  55. 19
  56. Have you had your tonsils removed?
  57. .
  58. 20
  59. Do you have attacks of your symptoms rather than
  60. them being present all the time?
  61. 21
  62. Do you have a cough product of green, yellow, or
  63. red sputum, rather than a non-productive cough?
  64. 22
  65. Do you feel like you cannot catch your breath?
  66. .
  67. 23
  68. Do you seem to perspire a great deal even when you
  69. are not exerting yourself?
  70. 24
  71. Is your pulse fast?  A normal pulse should be
  72. between 60 and 90.
  73. 25
  74. Do you have attacks of shortness of breath where
  75. you are afraid that you might pass out?
  76. 26
  77. Does your skin have a slightly bluish tinge?
  78. .
  79. 27
  80. When you cough does your sputum have any
  81. streaks of blood or red in it?
  82. 28
  83. Do you feel mentally confused? Not in full
  84. possession of your intellectual faculties?
  85. 29
  86. Are you delirious, unable to carry on intelligent
  87. speech or have poor muscular control?
  88. 30
  89. Do you have a non-productive cough, rather than 
  90. one that produces sputum?
  91. 31
  92. Do you have any pain when you take a deep breath
  93. or when you cough?
  94. 32
  95. Do you ever develop severe chest pain or a heavy 
  96. feeling over the chest?
  97. 33
  98. Are you having fevers and chills?
  99. .
  100. 34
  101. Are your symptoms chronic, i.e., lasting over six
  102. weeks?
  103. 35
  104. Do you have fingernails that curve down over the
  105. finger tips with tender fleshy bases (clubbing)?
  106. 36
  107. Do your symptoms seem to worsen with exertion
  108. rather than at rest?
  109. 37
  110. Do you smoke?
  111. .
  112. 38
  113. Do you feel like the room is spinning or that you
  114. can't keep your balance?
  115. 39
  116. Do you have palpitations, skipped beats, or feel
  117. that your heart is beating fast or irregularly?
  118. 40
  119. Do your ankles swell? When you take off your
  120. socks have they made deep impressions?
  121. 41
  122. Are you vomiting or do you feel like vomiting?
  123. .
  124. 42
  125. Do you have any abdominal pain or discomfort?
  126. .
  127. 43
  128. Is your stool loose?  Do you have diarrhea?
  129. .
  130. 44
  131. Have you had your appendix removed?
  132. .
  133. 45
  134. Does your skin or the whites of your eyes
  135. have a yellow tinge (jaundice)?
  136. 46
  137. Do you feel tense or anxious?
  138. .
  139. 47
  140. Do you have insomnia? Do you waken at night and
  141. can't get back to sleep?
  142. 48
  143. Do you have a tremor, a fine shaking movement of
  144. one arm or a pronounced twitch?
  145. 49
  146. Are your stools hard or do you have difficulty
  147. passing them? Are your stools infrequent?
  148. 50
  149. Do you feel that you have a poor memory or
  150. that you are frequently forgetting things?
  151. 51
  152. Have you lost or nearly lost the ability to
  153. speak?
  154. 52
  155. Have you noticed any blood in your stool
  156. or that you have black, thick, sticky stools?
  157. 53
  158. Are you male? Indicate Yes. If female, indicate No.
  159. If you want a general analysis indicate Don't Know.
  160. 54
  161. Do you have a stiff or painful neck?
  162. .
  163. 55
  164. Have you sustained any head trauma, even slight
  165. head trauma?
  166. 56
  167. Have your stools changed in consistency or
  168. shape or do they have an abnormal color?
  169. 57
  170. Do you have a lot of gas, i.e. frequent belching and
  171. passing gas?
  172. 58
  173. Do you have any episodes of light-headedness or
  174. fainting spells?
  175. 59
  176. Do you have an itch anywhere on your body?
  177. .
  178. 60
  179. Do you have any type of skin rash?
  180. .
  181. 61
  182. Do you have any areas of weakness or tingling
  183. anywhere on your body?
  184. 62
  185. Are you overweight?  Indicate Yes.  For underweight
  186. indicate No. If ideal weight indicate Don't know.
  187. 63
  188. Is there any pain or discomfort in your
  189. face or forehead?
  190. 64
  191. Is there any swelling under your skin?
  192. .
  193. 65
  194. Is your urine an abnormal color, red or dark brown?
  195. .
  196. 66
  197. Do you seem to be urinating more frequently than usual?
  198. .
  199. 67
  200. Does it hurt or burn when you urinate?
  201. .
  202. 68
  203. Do you have any visual difficulties: blurring, double
  204. vision or flashing lights not corrected by glasses?
  205. 999999999
  206. Common cold
  207. .02,1,.9,.05,2,.8,.02,3,.8,.02,5,.6,.01,6,1,.01,7,.2,.01,8,.5,.01,15,.8,.01,34,0,.01,999
  208. Allergic rhinitis
  209. .01,1,1,.01,2,1,.01,6,.9,.01,10,.7,.01,11,.7,.01,12,.6,.01,20,.9,.01,999
  210. Sinusitis
  211. .01,14,.8,.01,13,.9,.01,15,.8,.01,7,.6,.01,22,.5,.01,2,.5,.001,6,.5,.01,63,.9,.01,999
  212. Pharyngitis
  213. .02,3,1,.01,16,.9,.01,8,.5,.01,11,.9,.01,37,.8,.3,64,.4,.01,999
  214. Tonsillitis
  215. .001,3,1,.01,7,.9,.01,15,1,.01,16,.7,.07,19,0,.5,8,.8,.01,34,0,.01,64,.8,.01,999
  216. Influenza
  217. .01,3,.9,.01,1,.9,.01,6,.5,.01,7,.7,.01,8,1,.01,15,1,.01,17,.8,.01,18,.6,.01,34,0,.01,999
  218. Laryngitis
  219. .01,4,1,.01,8,.6,.01,15,.05,.01,16,.7,.01,37,.8,.3,999
  220. Tumor of the Larynx
  221. .00004,4,1,.01,34,.99,.01,37,.8,.3,999
  222. Acute Bronchitis
  223. .005,5,.1,.01,8,1,.01,12,1,.01,15,1,.01,18,.5,.01,21,1,.01,31,.9,.01,34,0,.01,22,.9,.01,999
  224. Chronic Bronchitis
  225. .005,5,1,.01,12,.9,.01,14,.5,.01,21,1,.01,22,.8,.01,34,1,.01,36,.9,.01,37,.8,.3,999
  226. Asthma
  227. .02,12,.8,.01,22,1,.01,23,.5,.01,24,.5,.01,25,.5,.01,26,.5,.01,31,.8,.01,999
  228. Emphysema
  229. .01,22,1,.01,5,.001,.01,26,.8,.01,12,.001,.01,22,.001,.01,37,.8,.3,999
  230. Pneumonia
  231. .003,8,1,.01,15,1,.01,18,.8,.01,22,1,.01,23,.5,.01,26,.5,.01,28,.1,.01,29,.02,.01,27,.2,.01,31,.9,.01,36,.1,.9,7,.9,.01,17,.9,.01,32,.5,.001,999
  232. Pleurisy
  233. .001,31,.8,.01,32,.8,.01,22,.5,.01,5,.8,.01,8,.9,.01,15,1,.01,34,0,.01,999
  234. Pneumothorax
  235. .0002,18,.8,.01,22,.8,.01,32,.8,.01,999
  236. Bronchiectasis
  237. .000001,21,1,.01,27,.5,.01,5,1,.01,14,.5,.01,999
  238. Lung Abscess
  239. .000001,33,.9,.01,18,.5,.01,21,.5,.01,27,.5,.01,999
  240. Pneumoconiosis
  241. .001,22,1,.01,36,1,.01,21,.8,.01,9,1,.001,999
  242. Lung Cancer
  243. .001,5,1,.01,21,.8,.01,27,.5,.01,22,.5,.01,18,.8,.01,12,.5,.01,37,.99,.3,999
  244. Interstitial Fibrosis
  245. .000001,22,.8,.01,35,.8,.01,21,.6,.01,999
  246. Pulmonary edema
  247. .001,22,.9,.01,25,.9,.01,30,.5,.01,27,.5,.01,26,.5,.01,12,.8,.01,999
  248. Gastritis
  249. .01,41,.8,.01,43,.8,.01,42,.5,.01,8,.4,.01,37,.9,.5,999
  250. Hiatal Hernia
  251. .001,18,.9,.01,32,.5,.001,42,.8,.001,57,.9,.01,16,.9,.01,41,.8,.01,999
  252. Duodenal ulcer
  253. .01,37,.8,.2,42,.99,.001,41,.8,.01,999
  254. Peptic ulcer
  255. .01,42,.9,.001,18,.5,.01,20,.8,.01,41,.7,.01,56,.9,.01,62,.0001,.01,999
  256. Diverticular disease
  257. .001,42,.6,.001,43,.5,.01,41,.5,.01,8,.5,.01,49,.5,.01,999
  258. Crohn's disease
  259. .0001,42,.9,.001,43,.9,.01,15,.9,.01,8,.7,.01,62,.00001,.01,999
  260. Intestinal obstruction
  261. .00001,42,.9,.001,43,.8,.01,41,.5,.01,999
  262. Appendicitis
  263. .001,34,.1,.9,42,.9,.001,41,.8,.01,8,.8,.01,44,0,.5,999
  264. Food poisoning
  265. .001,42,.5,.001,41,.9,.01,43,.9,.01,7,.8,.01,999
  266. Gastroenteritis
  267. .01,41,.8,.01,42,.7,.001,43,.9,.01,8,.5,.01,999
  268. Kidney stones
  269. .001,42,.7,.001,999
  270. Acute pyelonephritis
  271. .001,42,.9,.001,8,.8,.01,41,.7,.01,67,.9,.01,999
  272. Gallstones
  273. .01,42,.5,.001,41,.5,.01,57,.9,.01,999
  274. Cholecystitis
  275. .001,42,.8,.001,8,.9,.01,41,.8,.01,45,.8,.001,999
  276. Shingles
  277. .001,42,.5,.001,18,.5,.001,60,.9,.01,59,.9,.01,2,.6,.01,46,.5,.01,999
  278. Deep vein thrombosis
  279. .0005,40,.8,.01,999
  280. Rheumatoid arthritis
  281. .001,15,.8,.01,17,.8,.01,40,.5,.001,999
  282. Heart failure
  283. .001,22,.9,.01,36,.5,.01,25,.5,.001,12,.6,.01,18,.5,.001,32,.3,.001,40,.5,.01,42,.5,.01,28,.3,.001,47,.9,.01,999
  284. Anxiety
  285. .01,46,.9,.01,28,.3,.01,47,.6,.01,39,.8,.01,23,.6,.01,48,.6,.01,16,.3,.01,43,.2,.01,22,.5,.01,50,.5,.01,57,.5,.01,58,.5,.01,15,.5,.01,7,.5,.01,4,.5,.01,999
  286. Depression
  287. .01,47,.5,.01,7,.5,.01,49,.5,.01,50,.5,.01,15,.5,.01,62,.8,.05,999
  288. Myocardial infarction
  289. .01,18,.5,.01,32,.9,.001,20,.5,.01,36,0,.2,38,.5,.01,22,.5,.01,23,.5,.01,41,.5,.01,15,.9,.01,999
  290. Angina
  291. .01,37,.8,.3,18,.9,.01,36,.9,.01,22,.5,.01,23,.5,.01,38,.5,.01,41,.3,.01,999
  292. Pulmonary embolism
  293. .0001,22,1,.01,18,.7,.01,21,.6,.01,27,.5,.001,25,.5,.001,26,.4,.0001,999
  294. Stroke
  295. .001,28,.8,.01,38,.7,.01,51,.8,.001,58,.9,.01,61,.9,.01,999
  296. Transient Ischemic Attack
  297. .001,28,.8,.01,38,.7,.01,51,.8,.001,34,0,.01,20,.5,.01,58,.9,.01,999
  298. Tuberculosis
  299. .0001,7,.5,.01,8,.5,.01,12,.5,.01,15,.5,.01,18,.5,.01,5,.5,.01,30,.5,.01,27,.5,.001,22,.5,.01,62,.0001,.01,23,.5,.01,999
  300. Hemorrhoids
  301. .01,52,.9,.001,49,.8,.01,56,.9,.01,59,.5,.01,999
  302. Hypothyroidism
  303. .001,49,.8,.01,17,.5,.01,24,0,.01,23,.001,.01,39,.001,.01,4,.5,.01,43,0,.01,46,.001,.01,62,.9,.05,999
  304. Irritable Colon
  305. .0007,43,.5,.01,49,.5,.01,42,.8,.001,41,.3,.01,57,.9,.01,999
  306. Colon Cancer
  307. .001,43,.9,.01,49,.8,.01,52,.5,.001,42,.5,.001,56,.9,.01,62,.0001,.01,999
  308. Ulcerative Colitis
  309. .0004,42,.8,.001,43,.8,.01,52,.6,.001,23,.5,.01,41,.5,.01,8,.5,.01,34,.4,.01,56,.9,.01,999
  310. Meniere's Disease
  311. .0005,38,.9,.001,41,.8,.01,34,.5,.01,20,.9,.01,999
  312. Cervical Spondylosis
  313. .006,54,.9,.01,7,.5,.01,38,.5,.01,58,.9,.01,61,.5,.01,999
  314. Subdural Hematoma
  315. .000001,55,.99,.0001,28,.9,.001,7,.9,.01,41,.9,.01,38,.9,.01,20,.5,.01,34,.5,.01,999
  316. Brain Tumor
  317. .0000001,7,.9,.01,41,.9,.01,38,.8,.01,50,.8,.01,38,.8,.01,999
  318. Meningitis
  319. .0000001,8,.9,.01,7,.9,.01,41,.9,.01,28,.7,.01,54,.9,.01,2,.9,.01,60,.5,.01,999
  320. Subarachnoid Hemorrhage
  321. .00001,7,.99,.01,54,.9,.01,38,.7,.01,28,.7,.01,41,.8,.01,2,.8,.01,999
  322. Acute Glaucoma
  323. .01,2,.9,.01,7,.9,.01,41,.7,.01,20,.8,.01,34,.8,.01,63,.8,.01,68,.9,.01,999
  324. Temporal Arteritis
  325. .001,7,.9,.01,8,.7,.01,17,.7,.01,2,.8,.01,63,.99,.01,999
  326. Dyspepsia
  327. .1,18,.7,.01,57,.7,.01,42,.7,.01,41,.7,.01,46,.5,.01,20,.9,.01,999
  328. Heart Block
  329. .0003,22,.5,.01,58,.8,.01,39,.6,.01,18,.6,.01,999
  330. Pernicious Anemia
  331. .0004,22,.9,.01,58,.9,.01,39,.9,.01,36,.9,.01,45,.5,.01,42,.5,.01,50,.5,.01,28,.4,.01,999
  332. Migraine
  333. .1,7,1,.01,15,.9,.01,41,.9,.01,43,.5,.01,2,.9,.01,20,.9,.01,34,.9,.01,63,.99,.01,999
  334. Hypertension
  335. .15,7,.5,.01,39,.5,.01,15,.5,.01,34,.9,.01,999
  336. Eczema
  337. .03,59,.9,.01,60,1,.01,999
  338. Urticaria
  339. .03,59,.9,.01,60,1,.01,46,.5,.01,999
  340. Scabies
  341. .001,59,1,.01,60,1,.01,999
  342. Measles
  343. .02,15,1,.01,8,1,.01,6,.9,.01,2,.9,.01,11,.9,.01,5,.9,.01,43,.5,.01,60,.8,.01,7,.5,.01,34,0,.01,999
  344. Rubella
  345. .01,8,.5,.01,60,.9,.01,58,.2,.01,34,0,.01,64,.5,.01,999
  346. Chicken Pox
  347. .001,60,1,.01,59,1,.01,8,.8,.01,7,.5,.01,15,.5,.01,34,0,.01,999
  348. Psoriasis
  349. .02,46,.6,.01,3,.5,.01,60,.99,.01,59,.9,.01,999
  350. Pityriasis Rosea
  351. .01,60,1,.01,59,.9,.01,34,.5,.01,999
  352. Acne Rosacea
  353. .01,60,.9,.01,2,.5,.01,34,.8,.01,999
  354. Thyrotoxicosis
  355. .001,46,.9,.01,47,.8,.01,48,.9,.01,23,.9,.01,39,.9,.01,22,.8,.01,43,.8,.01,62,.00001,.01,2,.5,.01,24,.9,.01,64,.3,.01,68,.3,.01,999
  356. Diabetes Mellitus
  357. .01,62,.0001,.01,61,.5,.01,2,.5,.01,66,.99,.01,68,.1,.01,999
  358. Stomach Cancer
  359. .0003,41,.5,.01,42,.7,.001,62,.0001,.01,52,.6,.001,56,.5,.01,999
  360. Atrial Fibrillation
  361. .001,39,.8,.01,38,.5,.01,42,.4,.01,58,.5,.01,999
  362. Hodgkin's Disease
  363. .0001,23,.5,.01,63,.6,.01,54,.8,.01,59,.7,.01,64,.99,.01,999
  364. Lymphoma
  365. .0001,64,.9,.01,54,.8,.01,15,.8,.01,62,.001,.01,8,.8,.01,23,.5,.01,59,.8,.01,999
  366. Mumps
  367. .01,64,.99,.01,8,.8,.01,15,.9,.01,16,.7,.01,54,.6,.01,3,.8,.01,999
  368. Bell's Palsy
  369. .0003,51,.9,.01,63,.5,.01,999
  370. Parkinson's Disease
  371. .001,48,.9,.01,51,.8,.01,42,.3,.01,50,.2,.01,28,.1,.01,999
  372. Rheumatic Fever
  373. .01,3,.8,.01,15,.8,.01,8,.8,.01,64,.8,.01,60,.6,.01,59,.001,.01,48,.1,.01,999
  374. Cystitis
  375. .01,66,.9,.01,65,.9,.01,67,.9,.01,8,.5,.01,999
  376. Kidney Tumor
  377. .001,8,.6,.01,62,.0001,.01,42,.5,.01,42,.5,.01,65,.7,.01,999
  378. Bladder Tumor
  379. .0004,65,.9,.01,42,.5,.01,66,.5,.01,67,.5,.01,8,.3,.01,999
  380. Iritis
  381. .0005,2,.9,.01,68,.9,.01,999
  382. Acute Hepatitis
  383. .001,8,.8,.01,15,.8,.01,17,.5,.01,42,.5,.01,45,.5,.01,41,.5,.01,999
  384. THE END
  385.