Yes   No   Have a new, persistent or changed cough?

Yes   No   Cough up mucus, phlegm or blood?

Yes   No   Get out of breath more easily than others your age?

Yes   No   Experience chest tightness or wheeze?

Yes   No   Have frequent chest infections?

Yes   No   Experience chest pain, fatigue, or have sudden weight loss?

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Yes   No   Are a smoker or ex-smoker?

Yes   No   Have worked in a job that exposed you to dust, gas or fumes?