How do you feel today?

Have you been tested positive for COVID-19 in the last two weeks?

Do you have a cough?

Do you have shortness of breath or difficulty breathing?

Do you feel any of the following symptoms?

Fever
Chills
Repeated shaking with chills
Muscle Pain
Headache
Sore Throat
New loss of taste or smell

Have you traveled to another state or country in the past 30 days?

Have you been within 6 feet of anyone who has tested positive for COVID-19 within the last two weeks?