Symptom Survey

If you feel like you have COVID-19 please contact your health care physcians. This is just a test to see if your symptoms match that of COVID-19's frequent signs


1. Do you have a fever?	Yes No
2. Do you have a Runny Nose?	Yes No
3. Do you have a Cough?	Yes No
4. Do you have a soar throat?	Yes No
5. Are you sneezing more than often?	Yes No
6. Do you find yourself having shortness of breath doing everyday tasks?	Yes No