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Questions
Question 1: Had direct contact (within 6 feet for greater than 10 minutes) with any person who had influenza, respiratory illness, or was sick with cough or fever?
Question 2: Had direct contact with a person or persons quarantined or isolated because of influenza, coronavirus or respiratory illness?
Question 3: Been inside any health care facility that is a treatment center for coronavirus?
Question 4: Experienced or currently experiencing any symptoms of influenza or coronavirus such as cough, respiratory illness, shortness of breath or fever (above 100.0 F)?
Question 5: Traveled to any states on the Governor’s quarantine list? (As of August 1, 2020, this list excludes NH, CT, ME, VT, NY, NJ)