Are you at risk?
To determine if you or someone you love is at risk for influenza and its complications, please answer the following questions.
Are you 50 years or older?
YES
NO
Will you be pregnant during influenza season?
YES
NO
Do you have a chronic heart, lung, seizure, or neuromuscular condition?
YES
NO
Were you seen by your doctor or hospitalized in the past year for diabetes, severe kidney disease, immunodeficiency (including immunodeficiency caused by medications or by human immunodeficiency virus [HIV])?
YES
NO
Are you a healthcare worker who has any contact with patients or residents?
YES
NO
Do you provide care for or live with someone in a high–risk group, such as a child, a senior, or a chronically ill person?
YES
NO
