COVID-19 Survey

TMSA
TMSA - Families 404-768-0081

Symptoms Check

Have you experienced any of the following symptoms in the past 48 hours:

  • Fever or chills
  • cough
  • shortness of breath
  • difficulty breathing
  • fatigue
  • muscle or body aches
  • headache
  • new loss of taste or smell
  • sore throat
  • congestion or runny nose
  • nausea or vomiting
  • diarrhea


Isolating

Are you isolating or quarantining because you tested positive for COVID-19 or are worried that you may be sick with COVID-19?


Vaccinated / Recovering

Are you fully vaccinated OR have you recovered from a documented COVID-19 infection in the last 3 months?
To be considered fully vaccinated, you must be ≥2 weeks following receipt of the second dose in a 2-dose series or ≥2 weeks following receipt of one dose of a single-dose vaccine.


Contact

Have you been in close physical contact in the last 14 days with anyone who is known to have laboratory-confirmed COVID-19 or anyone who has any symptoms consistent with COVID-19?


Testing

Are you currently waiting on the results of a COVID-19 test? IMPORTANT: Answer "NO" if you are waiting on the results of a pre-travel or post-travel COVID-19 test.


Travel

Have you traveled in the past 10 days? Travel is defined as any trip that is overnight AND on public transportation (plane, train, bus, Uber, Lyft, cab, etc.) OR any trip that is overnight AND with people who are not in your household.


Temperature check

Please record the results of your temperature reading (all temperatures in F). A reading of 100.4 F or greater will result in a flagged survey.








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