Covid Questions

Your name

Your email

Phone

Question 1: Within the last 72 hours have you had a headache, sore throat, scratchy throat, malaise? noyes

Question 2: Have you travelled or been in close contact with anyone who has travelled in the last 14 days? noyes

Question 3: Within the last 72 hours have you had no taste in your mouth or experienced nosmell? noyes

Question 4: Have you had a fever within the last 72 hours? noyes

Question 5: Have you been in contact with someone diagnosed with Covid-19 within the last 72 hours before symptoms started? (b)Within 7 days after symptoms began or (c) within 3 days after symptoms started? noyes

Question 6: Do you presently have symptoms that maybe due to Covid-19? e.g.: fatigue, cough, difficulty breathing, diarrhea, aching muscles, runny nose, nausea,vomiting, chills or sweats? noyes

Question 7: Have you had close contact with or cared for someone diagnosed with COVID-19 within the last 14 days? noyes

Your message