About exposures at your work | |
4a | Have you been exposed to sulphur dioxide? |
4b | If “yes”, during which years? |
5 | Have you ever been exposed to sulphur dioxide resulting in coughing, breathlessness, wheezing or pain in the chest? |
8 | Have you ever been exposed to chlorine/chlorine dioxide resulting in coughing, breathlessness, wheezing or pain in the chest? |
About your health | |
20a | Have you been diagnosed by a physician as having asthma? |
20b | If “yes”, give the year of diagnosis? |
23a | Have you at any time since age 15 yrs had an attack of wheezing or whistling in your chest? |
23b | If “yes”, in which year did you first notice it? |
19b | Have you ever had hay fever? |
About tobacco | |
48 | Have you ever smoked daily for at least 1 yr? |
49, 50 | If so, during which years? |