Scan Time: *
:
Symptom Free *
 
In the last 30 days, have you had a positive COVID-19 test? *
 
In the last 14 days, have you had sustained close contact (such as a household contact) with a person with a positive COVID-19 test? *
 
In the last 14 days, have you had a fever, cough or diarrhea? *
 
In the last 14 days, have you had cold or flu like symptoms? *
 
In the last 14 days, do you have concerns regarding other potential symptoms (loss of taste, loss of smell, eye redness or discharge, confusion, dizziness, unexplained muscle aches) related to COVID 19? *
 
Is the participant’s temperature >=100.4F / 38C when measured at BMC? *
 
Notes: