Question
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Invite others to join in self-reporting
At any time in the last
two weeks:
Have you had a fever?
(a temperature above 98.6°F or 37°C)
Yes
No
Have you lost your sense of smell or taste?
Yes
No
Have you had a persistent dry cough?
Yes
No
Have you had difficulty breathing?
Yes
No
Have you had fatigue, diarrhea, headache, or bluish toes?
Yes
No
Have you tested positive for COVID-19?
(by a clinical swab)
Yes
No
Your location is
important
Make a difference in your community by telling us where you are.
