1. Are you experiencing any of the following:
2. Are you experiencing any of the following:
3. Are you experiencing any of the following:
4. Have you travelled to any countries within the last 14 days?
5. Did you provide care or have close contact with a person with COVID-19 (probable or confirmed) while they were ill (cough, fever, sneezing, or sore throat)?
6. Did you have close contact with a person who travelled in the last 14 days who has become ill (cough, fever, sneezing, or sore throat)?
7. Are you above 65 years old or having underlying chronic condition including Diabetes, Hypertension, Chronic heart/ kidney/ liver disease or are you pregnant? Orare you a healthcare provider?