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20152016 SEASONAL INFLUENZA SCREENING QUESTIONNAIRE Patient Names: DOB: Patient temperature: The following questionnaire will help us to know if you or your child can get the seasonal influenza vaccine.
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How to fill out a seasonal flu questionnaire engdocx:

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Start by downloading the seasonal flu questionnaire engdocx from a reliable source or website.
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Open the engdocx file using a compatible program, such as Microsoft Word or any other word processing software.
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Read the instructions carefully to understand the purpose and requirements of the questionnaire.
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Begin by providing your personal information, including your name, age, gender, and contact details, as requested.
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Answer each question on the questionnaire accurately and honestly. The questions may include inquiries about your medical history, current symptoms, recent travel, and exposure to individuals with the flu.
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If you are unsure about any question, do not guess but leave it blank or mark it as uncertain.
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Follow any additional instructions mentioned within the questionnaire, such as including any supporting documents or medical records that may be necessary.
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Once you have completed filling out all the required fields, double-check your responses to ensure accuracy and completeness.
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Save the engdocx file on your computer or device, either using the same file name provided or with a name that is easy to identify.
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If required, print a copy of the completed questionnaire for your records or to submit it physically.

Who needs a seasonal flu questionnaire engdocx:

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Individuals who are experiencing flu-like symptoms and want to provide detailed information to their healthcare provider.
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Healthcare professionals or medical staff who need to gather specific information about individuals suspected of having the flu.
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Organizations or institutions that require individuals to complete a flu questionnaire for tracking or preventive measures, such as schools, workplaces, or public health agencies.
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