Covid-19 Pre-Screening Questionnaire








  • Sore throat
  • Runny nose/sneezing/nasal congestion
  • Hoarse voice
  • Difficulty swallowing
  • Decrease or loss of smell and/or taste
  • Chills
  • Headache
  • Unexplained fatigue
  • Diarrhea
  • Abdominal pain
  • Nausea and/or vommiting

NoYes