COVID Pre-Screening Questions
1. Have you or any household member been hospitalized for covid-19 in the last 14 days?
a. Yes
b. No
2. In the last 3 days, have you experienced any of the following symptoms:
a. New loss of taste or smell
b. Respiratory symptoms such as cough, shortness of breath
c. Fever
3. Have you been exposed to anyone with confirmed covid-19 at work or at home in the past 14 days?
a. Yes
b. No
4. Have you traveled outside of the country in the past 14 days?
a. Yes
b. No