Covid Questionnaire

- Have you come into close contact (within 6 feet) with someone who has a laboratory confirmed COVID – 19 diagnosis in the past 14 days?

- Have you had any history of fever in last 14 days?

- Have you had any respiratory illness such as cough or difficulty breathing in last 14 days?

- In the past 14 days, have you or any household member had any contact with a known covid-19 patient?

- Have you or any household member travelled to international areas in last 14 days?

- Have you recently lost your sense of taste or smell?

- Do you have congestion or a runny nose?

- Do you have a sore throat?

- Do you have any unexplained muscle aches or fatigue?

- Have you recently experienced nausea or vomiting?

- Have you travelled in the past 14 days to regions affected by COVID-19?