Covid pre-screening questionnaire:

• • • Have you potentially been exposed to Covid-19 via contact with an infected person/family member?
    • Have you traveled out of state in the past 12 days?
    • Are you currently experiencing or have you experienced in the last 14 days, any of the following symptoms:
      1. Shortness of breath or difficulty breathing
      2. Cough
      3. Runny Nose
      4. Recent loss of taste or smell
      5. Cold (symptoms of a cold)
      6. Fever/Chills
      7. Diarrhea
      8. Muscle Pain
      9. Chest congestion