EXIT COVID-19 Symptom Check List Question Title * 1. Please provide your full name. OK Question Title * 2. Have you had a temperature over 100.4 or chills or taken fever reducing medication in the last 48 hours? Yes No OK Question Title * 3. Have you experienced any of the following symptoms in the last 48 hours? Shortness of breath or difficulty breathing Fatigue, muscle/body ache, headache New loss of taste or smell Sore throat/cough Congestion or runny nose Nausea or Vomiting or Diarrhea None of the symptoms listed OK Question Title * 4. Have you been in close contact with anyone diagnosed with COVID-19 in the past 14 days? Yes No OK Question Title * 5. Have you traveled outside of the country or to one of the states that the PA department of health has indicated a need for quarantining during the past 14 days? Yes No OK DONE