COVID-19 Self-Assessment Questionnaire

Non-Sterile Training 28 Feb - 01 Mar 2021

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People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness.

Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:

  • Fever or chills*
  • Cough*
  • Shortness of breath or difficulty breathing*
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

*common symptoms

If you are experiencing these common symptoms, seek medical care early and stay home. If you are a facilitator or a program attendee, please inform any LP3 Network staff. You should monitor your temperature regularly to measure your current health status.

Please answer all questions below.