Have you been in Africa lately?

  Yes
  No

Have you been sick lately (feber/vomit)

  Yes
  No

Have you been in contact with a person from Africa

  Yes
  No

Do you think you have ebola?

  Yes
  No

Have you been coughing up blood?

  Yes
  No

Do you have red eyes?

  Yes
  No

Do you have alot of stomach pains?

  Yes
  No

Do you bleed thru eyes or bruising?

  Yes
  No

Have severe weight loss occurred to you?

  Yes
  No