The Purple Book

Viral Illness score

Throat and Mouth

select the best answer that suits

NO mouth OR throat pain

Pain in mouth

Pain in throat

Eating and drinking

several answers needed here

NO problems eating/drinking

Gum/throat pain when eating/drinking

Able to drink but not able to eat

Some trouble eating AND drinking

NOT able to eat OR drink

NO vomiting

Vomit once or twice

Vomiting more than twice

NO diarrhoea

Diarrhoea once or twice

Diarrhoea more than twice

Cough

the answer that suits the best

NO cough

Occasional cough

1 or 2 coughing fits

More than 2 coughing fits

Breathing

select the answer that fits best

NO problems breathing

Breathless when VERY active

Breathless with MILD activity

Breathless AT REST

Chest

select the answer that fits best

NO significant chest pain,tightness

Chest pain ONLY when coughing

Chest pain,tightness when ACTIVE

Chest pain,tightness when RESTING

Head

select the answer that fits best

NO headache

Headache RESPONDS to pain killers

Headache NOT responding to pain killers

Light does NOT affect my eyes

Light hurts my eyes a LITTLE

Light hurts my eyes a LOT

NOT falling asleep daytime

Falling asleep daytime A BIT

Falling asleep daytime A LOT

Body Pains

select the answer that fits best

No aches or pains

General aches & pains in my head, neck, limbs or back

The BACK of my neck is a BIT painful

The BACK of my neck is a VERY painful

I have a very STIFF neck

Temperature

In Celsius: Select one

Not done

Less than 37.5

37.6 – 38

38.1 – 38.5

38.6 – 39

more than 39

Overall feeling

Select what fits best

Better than yesterday

SAME as yesterday

Worse than yesterday

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