Have you knowingly been in close contact in the past 14 days with anyone who has tested positive for COVID-19 or who has or had symptoms of COVID-19?

Have you tested positive for COVID-19 in the past 14 days?

Have you had symptoms of COVID-19 in the past 14 days?

Including, but not limited to:

Fever or chills


Shortness of breath or difficulty breathing


Muscle or body aches


New loss of taste or smell

Sore throat

Congestion or runny nose

Nausea or vomiting