HerHealing Community: Covid Symptoms Questionnaire Question Title * 1. First and Last Name Question Title * 2. Are you currently experiencing, or have you experienced in the last 14 days, any of the following symptoms? Please check all that apply. Fever (100.4 F/ 37.8 C or greater) Cough Shortness of breathe or difficulty breathing New loss of taste or smell Chills Head or muscle aches Nausea, diarrhea, or vomiting None of the above Question Title * 3. In the last 14 days, have you been in close contact with anyone who has experienced any of the symptoms above? Yes No Maybe Question Title * 4. In the past 14 days, have you been in close contact with anyone who has tested positive for COVID-19? Yes No Maybe Done