Question Title

* 1. What is your first & last name?

Question Title

* 2. Contact Details

Question Title

* 3. Do you have a cough?

Question Title

* 4. Do you have a cold?

Question Title

* 5. Do you have diarrhea?

Question Title

* 6. Do you have a sore throat?

Question Title

* 7. Are you experiencing any body aches?

Question Title

* 8. Do you have a headache?

Question Title

* 9. Do you have redness of eyes?

Question Title

* 10. Do you have loss of taste or smell?

Question Title

* 11. Are you nauseous?

Question Title

* 12. Are you having any difficulty breathing?

Question Title

* 13. Are you experiencing any fatigue?

Question Title

* 14. Have you traveled recently during the past 14 days?

Question Title

* 15. Any travel history to a Covid-19 infected area?

Question Title

* 16. Have you had any direct contact or taken care of a positive Covid-19 patient?

Question Title

* 17. Do you have a fever? (Temperature of 37.8 or above)

Question Title

* 18. What is your current temperature? (Kindly get your reading from reception)

0 of 18 answered
 

T