COVID-19 Screening Questions

March 27, 2020

  • Do you currently have ANY of these symptoms:  temperature 100.0 degrees or higher, sore throat, body aches or chills, cough, or shortness of breath?

YES                                     NO

  • Have you had any of these symptoms in the last 14 days?

YES                                     NO

  • Has anyone you have close contact with (immediate family) had these symptoms recently?

YES                                     NO

  • Have you travelled on a cruise ship or internationally within the last 2 weeks?

YES                                     NO

  • Have you travelled outside of Kansas or Missouri within the last two weeks?

YES                                     NO

  • Have you received notification from public health officials that you are close contact of a laboratory-confirmed case of COVID-19?

YES                                     NO

  •      Have you been diagnosed with COVID-19?

YES                                         NO