In the past 24 hrs have you had runny nose/congestion different than seasonal allergies * *
In the past 24 hrs have you had a fever over 100 degrees? *
In the past 24 hrs have you had a new or worsening cough? *
In the past 24 hrs have you had a sore throat different than allergies? *
In the past 24 hrs have you had shortness of breath or difficulty breathing? *
In the past 24 hrs have you had new loss of taste or smell? *
In the past 24 hrs have you had diarrhea or vomiting? *
Within the last 14 days have you been in direct contact (Less than 6 feet apart, No mask, and for longer than 15 Minutes) with a person with a confirmed case. *
Have you traveled outside the country in the past 14 days? *
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