Covid-19 Screening Questionnaire For Businesses
Please enter a valid phone number.
In the past 14 days, have you experienced or been experiencing any of the following symptoms?
Shortness of breath
Loss of smell or taste
Muscle pain or body aches
In the best of your knowledge, in the past 14 days, have you contacted a person who might have been COVID positive?
In the past 14 days, have you travelled internationally?
Have you been tested for COVID-19 and waiting for the results?
Should be Empty: