Have you been exposed to anyone known to have COVID 19?
Are you currently being required to quarantine due to an exposure to COVID19?
Is someone in your household on quarantine due to COVID19?
Are you waiting for COVID19 test results?
Are you experiencing any of the following symptoms? Fever, Chills, Cough, Shortness of Breath, Difficulty Breathing, Fatigue, Muscle Aches, Headache, New Loss of Taste or Smell, Sore Throat, Congestion, Runny Nose, Nausea, Vomiting or Diarrhea.
Y
N
Is your temperature above 100.0°F?
Have you been exposed to anyone known to have COVID 19?
Are you currently being required to quarantine due to an exposure to COVID19?
Is someone in your household on quarantine due to COVID19?
Are you waiting for COVID19 test results?
Are you experiencing any of the following symptoms? Fever, Chills, Cough, Shortness of Breath, Difficulty Breathing, Fatigue, Muscle Aches, Headache, New Loss of Taste or Smell, Sore Throat, Congestion, Runny Nose, Nausea, Vomiting or Diarrhea.
If you answered yes to any of the above screening questions please explain.