What is your country of birth?

Have you ever had a BCG vaccination?

Has anyone in your household or close family had TB?

Have you suffered from recent or recurrent chest infections?

Do you currently have a persistent cough, which has been continuing for 3 weeks or more?

Have you had night sweats (drenching) in recent weeks?

Have you had any unexplained weight loss?

Have you noticed any new lumps in your neck, armpit or groin?