Do you have any of the following coditions - Diabetes, respiratory (breathing) problems, heart disease, neurological illness, liver or kidney problems, blood disorders [e.g. sickle cell disease, clotting or bleeding issues]
Do you have allergies? e.g. food, medication or latex
Have you, or a first degree relative (parents, brother, sister, or child), ever experienced any mental health issues, even mild anxiety, or depression?
Do you have, or have you had, a condition that could impair your immune system? e.g. HIV/AIDS, blood cancer
In the last 12 months, have you taken any medication or had treatment that could impair your immune system? e.g. chemotherapy, radiotherapy, high dose steroids
Are you receiving regular treatment or follow up with your GP/hospital specialist?
Do you have any disability or mobility problems?
Do you, or a first degree relative (parents, brother, sister or child), have epilepsy or seizures?
Have you, or anyone in your family, ever had a severe reaction to a vaccine or malaria medication?
Are you or your partner pregnant or planning a pregnancy?
Are you breast feeding? (if applicable)
