Covid-19 Survey

COVID-19 Survey:

Answer the following questions about symptoms, travel, and contact you’ve had with others with the best accuracy to determine if you are a candidate for testing.

*Is this an emergency? Stop and call 911 if you’re experiencing: Severe or Constant chest pain or pressure, extreme difficulty breathing, sever or constant lightheadedness or serious disorientation or unresponsiveness.

Take Our Covid 19 Survey

Are you experiencing… (select all that apply)

Do you have any of these conditions? (select all that apply)

In the last 14 days, have you traveled internationally?

In the last 14 days, have you visited an area where COVID-19 is widespread?

Do you live in an area where COVID-19 is widespread?

In the last 14 days, what was your exposure to others?

Do you live or work in a care facility?

Do you have a primary care doctor? y/n/unsure

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