Produced by : Pratham Software

for Prof. Keshav Singhal

( MBE, FRCS, FLSW )

Navigating safely from full lockdown to normalcy

Self-assessment of risk enabling informed choices

Please fill all your mandatory details

Age and Sex are mandatory!

Form No.

Ethnicity

Do you identify as one of the BAME(Black Asian Minority Ethnic) or Mixed race groups as set out in this link?

Comorbidity

Covid-19 seems to have a bigger impact if you already have other pre-existing health conditions. You may want to speak to your GP or your union representative, if you are not sure about these questions.

Diabetes Mellitus Type 1 or 2?

Comorbidity

Cardiovascular disease.
Are you on any treatment for Hypertension (high blood pressure), Atrial Fibrillation (Irregular heart rate), Heart Failure, Previous MI (had a heart attack), had a stroke, or Transient Ischemic Attack (mini stroke)?

Comorbidity

Chronic lung disease (including asthma, COPD, interstitial lung disease)?

Comorbidity

Chronic kidney disease (any stage 1-5)?

Comorbidity

Sickle cell trait, Thalassaemia trait or other haemoglobinopathy?

Obesity

Obesity – Covid-19 seems to have a bigger impact if you are overweight?
This link will help you work out your BMI – if your BMI is more than 30 OR If your waist circumference is:

Family history

Covid-19 seems to have a family susceptibility for some people, especially twins.
Has a member of your immediate family (parent under 70, sibling, child) been in ITU or died with Covid-19?

Identify The Zone

What is the lockdown phase of the area where you live?

Your risk score is :

Use forward button for your risk recommendation

Your risk

You are at LOW RISK, and should consider following:

Feedback

This risk assessment tool

Thank You

Your details have been submitted successfully.

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