1.Are you feeling well today?

Yes

No

2.Did all members of your household get some symptoms?

Yes

No

3.So sorry to hear you are not feeling well, what symptoms are you having?

Cough

Sore Throat

Runny Nose/Sinus Congestion

Fever

Loss of taste/smell

Headache

Nausea

Diarrhea 

Vomiting

Muscle Aches

Shortness of breath

Other (please specify)

4.Have you taken a rapid (antigen) Covid19 test?

Yes

No

5.If you have tested for Covid19 did you test negative?

Yes

No

6.Are you using a contact tracing app on your mobile device?

Yes

No

7.Have you heard from anybody you were near during the holiday that they tested positive for Covid19?

Yes

No

8.Have you heard from anybody else that you were around over the holiday that they were also feeling unwell, but testing status for Covid-19 is unknown?

Yes

No

9.Have you enacted isolation protocol due to your symptoms?

Yes

No

10.Do you plan on enacting a covid-19 antigen testing protocol before your next holiday, now that at home tests like On/Go, Invitro are available at retail pharmacies?

Yes

No