Q1. What is the main medical condition that has stopped you from working?
Q6. What was the first date you were certified as unfit for work for this illness/injury?
This is the 'from' date on your medical certificate.
Q7. What was the last date you have been certified as unfit for work for this illness/injury?
This is the 'to' date on your most recent medical certificate.
Q12. Have you previously had symptoms, advice, or treatments from a medical practitioner for the same condition prior to your certification?