Have you previously had a hay fever injection?
Which symptoms are you currently experiencing?
How severe are your hay fever symptoms this season?
Which treatments have you already tried this season?
Do you currently have any infection, fever, feel unwell, or are you taking antibiotics or antiviral treatment?
Have you ever been told you have any of the following? Select all that apply
Do you have a weakened immune system, are you immunosuppressed, or are you receiving treatment that lowers immunity?
Have you had a vaccination in the last 4 weeks, or do you have a vaccination booked in the next 4 weeks?
Have you ever had an allergic reaction or serious side effect after a steroid injection or steroid tablets?
Are you pregnant, trying to become pregnant, or breastfeeding?
Have you been diagnosed with chickenpox recently, been in close contact with chickenpox or shingles, or had either illness in the last 6 weeks?
Please confirm you understand the following
Consent