COVID-19 Checklist – The Kidney Care Society 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