Have you been in close contact with a confirmed case of COVID-19?*
—Please choose an option—YesNo
Are you experiencing a cough, shortness of breath, or sore throat?*
Have you had a fever in the past 48 hours?*
Have you had a new loss of taste or smell?*
Have you experienced vomiting or diarrhea in the last 24 hours?*
Is your current temperature above 100.4 degrees Fahrenheit?*