HHREC COVID-19 Visitor Questionnaire Question Title * 1. Name: OK Question Title * 2. Have you traveled Internationally within the past 14 days? Yes No OK Question Title * 3. Have you had close contact with or cared for someone diagnosed with COVID-19 in the past 14 days? Yes No OK Question Title * 4. Have you experienced any flu like symptons within the last 14 days? Yes No OK DONE