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COVID-19 Symptoms Assessment
Personal Information
Are you fully vaccinated against Covid-19?
Fully vaccinated means 2 weeks after your second dose in a 2-dose series, such as Pfizer or Moderna vaccines, or 2 weeks after a single-dose vaccine, such as Johnson & Johnson’s
Have you had your RT-PCR test done?
If yes, please indicate information:
Upload test result here
Are you a Close Contact Person to a Confirmed Covid-19 Case?
Are you currently experiencing any of the following symptoms?
Fever or chills
Cough
Colds
Shortness or difficulty of breathing
Tiredness
Muscle or
body aches
Headache
Loss of taste or smell
Sore throat
Diarrhea
TEMPERATURE READING :
List of Close Contact Persons
Close contact means:
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face to face contact with or without facemask within 1 meter for more than 15 minutes e.g., talking, meeting
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direct physical contact e.g., shake hands, cheek greetings
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direct care for confirmed or suspect for Covid-19 without using approved PPE
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persons you ate with (indoor, regardless of distance), (outdoor within or less than 1 meter distance)
Thank you for completing this Covid-19 Symptoms Assessment.
More Information
What to do if you are sick:
Kindly accomplish the web-based questionnaire for assessment