Risk Factor Assessment for Respiratory Tract Infection For 17 yrs.

Old and below Instruction: Check the following boxes that correspond to your answer and please indicate details. (at least three risk factors will mean high risk for the disease)
Name Address Age Sex Height Weight Second hand smoking or smoking (at least 1 stick of cigarette per day everyday) Poor hand hygiene (before and after meals, after in contact with body fluids sputum or drainage from wound, after using toilet or after playing) Physical or close contract with someone who has respirator y infections. Exposure to dust or pollens. Immunocompromis ed disease. (HIV/AIDS, BLOOD RELATED DISEASE, PROMARY COMPLEX/ PTB) Crowded living conditions (more than 3 persons in the same room) Lack of breastfeeding