Do you have fever (100.4), do you feel warm, or feel chills? *
Do you have any of the following respiratory symptoms? *
Required
Have you, or someone in your household, had close, unprotected contact with a suspected or known COVID-19 patient (spent longer than 15 minutes within 6 feet of someone who was sick with a fever and cough)? *
If you have subjective or documented fever OR any of the respiratory symptoms OR close contact with COVID-19 patient noted above: