Have you or anyone in your household had a fever in the past two (2) weeks?
Yes / Có No / KhôngDo you or anyone in your household have a new cough or new shortness of breath?
Yes / Có No / KhôngIn the past two (2) weeks, have you been exposed - less than six (6) feet for greater than 15 minutes - to anyone who has tested positive for COVID -19 without wearing the appropriate Personal Protective Equipment (PPE) as defined by the Centers for Disease Control and Prevention?
Yes / Có No / Không