COVID-19
Checklist
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COVID-19 Checklist
Symptoms
Choice
Do you have cough?
Yes
No
Do you have colds?
Yes
No
Are you having Diarrhea?
Yes
No
Do you have sore throat?
Yes
No
Are you experiencing MYALGIA or Body Aches?
Yes
No
Do you have a headache?
Yes
No
Do you have fever(Temperature 37.8 C and above)?
Yes
No
Are you having difficulty breathing?
Yes
No
Are you experiencing Fatigue?
Yes
No
Have you traveled recently during the past 14 days?
Yes
No
Do you have a travel history to a COVID-19 INFECTED AREA?
Yes
No
Do you have direct contact or is taking care of a positive COVID-19 PATIENT?
Yes
No