Do you have any of the following symptoms not associated with existing medical conditions: shortness of breath, new cough, excessive chills, severe muscle pain, loss of taste or smell, or new profound headache? *
Within the past 2 weeks have you traveled to or from a high risk COVID-19 state or country for personal reasons, other than work or school, or have you been exposed to anyone known to be positive for COVID-19? (This excludes healthcare workers exposed while wearing recommended PPE.) *
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