COVID
SCREENING

COVID Symptom Screen

Have you or anyone in your household been diagnosed with COVID-19 in the past 14 days?

Have you had a COVID test in the past 14 days?

Have you had any of the following new symptoms in the past 14 days?

• Fever or chills

• Cough

• Shortness of breath or difficulty breathing

• Fatigue

• Muscle or body aches

• Headache

• New loss of taste or smell

• Sore throat

• Congestion or runny nose

• Nausea or vomiting

• Diarrhea