Highland Regiment COVID-19 screening

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Please answer these questions truthfully and to the best of your ability.

Name *

Email address *

Phone number *

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

Yes

Fever (temperature over 100°F) or chills

Cough

Shortness of breath

Fatigue

Muscle or body ache

Headache

A new loss of taste or smell

Sore throat

Congestion or runny nose (not related to allergies)

Nausea or vomiting

Diarrhea

Within the past 14 days, have you been in close physical contact with someone known to have laboratory-confirmed COVID-19, or anyone with symptoms consistent with COVID-19? *

"Close physical contact" is defined as being within 6 feet for a total of 15 minutes

Yes

Are you isolating or quarantining because you may have been exposed to a person with COVID-19, or are worried that you may be sick with COVID-19? *

Yes

Are you currently waiting on the results of a COVID-19 test? *

Yes

What's your most recent temperature? *

Submit

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