Skip to main content Skip to navigation

Online self assessment of symptoms

Please indicate your consent for each point (required)
. (required)

About you

About Your Education

About Your Health

About the System
Please rate these items about the system on a possible scale

The following questions are about the user friendliness of the system.
Please rate the following items

DISCLAIMER: The recommendation from this system should not be relied upon if you feel that a different course of action is needed or if your condition changes or worsens. If in doubt, please contact the Student Health Centre or NHS Direct (0845 46 47).
If you have any questions or require further information please do not hesitate to contact the researcher at
Privacy notice
This form is anonymous. No data which personally identifies you is collected on the form, and the data you provide is used solely for the research purposes outlined in the Participant Information Sheet, dated 28/11/2008 (version 2).

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at

Spam prevention

Failure to load reCAPTCHA

reCAPTCHA is a utility used to verify you're not a robot filling out this form. Unfortunately this has failed to load correctly.

Please try reloading the page. If the problem persists, or if you are in a country which blocks Google products, please contact us by using the ‘page contact’ link at the foot of this page.