Are you experiencing a cough or difficulty breathing (for those with allergies or asthma change from baseline)? *
Do you show any of the following symptoms this morning: fever, new-onset headache, vomiting; diarrhea; sore throat? *
Are you awaiting COVID-19 test results? *
In the past 10 days, have you been in contact with anyone who is awaiting test results or confirmed diagnosed with COVID-19, or are you living in the same residence with someone who has COVID-19 symptoms? (Please see DOH guidelines for exposure). *
Have you traveled out-of-state in the past 10 days?
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