COVID-19 Survey

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Symptoms Check

Are any of the following present today?

  • Fever (100.3)
  • Cough
  • Shortness of breath or difficulty breathing
  • Headache
  • Muscle/body aches
  • Loss of taste/smell
  • Sore throat
  • Congestion
  • Nausea
  • Diarrhea


Testing

I have tested positive for COVID-19 in the past 14 days or I am currently waiting on the results of a COVID-19 test.


Contact

I have knowingly been in close or proximate contact in the past 14 days with someone who has tested positive for COVID-19 or has or had symptoms of COVID-19.


Travel

I have traveled within the past 14 days to one of the states designated as having significant community spread, and I spent more than 24 hours in the state.







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