2 minutes
Anyone who is experiencing symptoms of COVID-19 or has been in close contact with someone who has the virus is eligible to fill out the survey.
Did you shake hands with anyone today?
Did you touch your face during the past hour?
Have you been outdoors during the past hour?
Has anyone sneezed on you or coughed near you during the last 12-hours?
Did you share a drink with someone in the last hour?
Have you been to any public areas during the past hour (e.g., airport, shopping mall, theater)?
Did you receive a flu vaccine this year?
Have you traveled outside of the country during the past month?
Has anyone around you been ill with cold symptoms in the last week?