Multicultural Health Institute COVID-19 Survey
Florida Department of Health in Sarasota Hotline: (941) 861-2883. Subject-matter experts are on duty 8 A.M.-5 P.M., Monday through Friday

The Florida Department of Health runs a hotline that anyone who believes they may have coronavirus can call, as well. The number is (866) 779-6121 and operates 24 hours a day, 7 days a week.

For more information, visit the Multicultural Health Institute website, https://www.the-mhi.org/, or send an e-mail to mhigtkpr@gmail.com
Do you have a primary care doctor? *
If you answered "No" to the previous question, would you like assistance in finding a primary care doctor? *
Are you able to get an appointment with your doctor, if you have one? *
If you answered "Yes" to the previous question, please share how you're able to have an appointment with your doctor (Such as in-person or telemedicine).
Have you been in close contact with some who has/had COVID-19 or have recently been in an area with an ongoing spread of COVID-19? *
Have you felt any symptoms correlated with COVID-19, such as fever, cough, or shortness of breath? *
If you answered "Yes" to the previous question, please describe what symptoms you have felt.
Do you have, or have you ever had, any of the following conditions? *
Required
Do you have a mask to wear when you go outside? *
Do you need a mask? If so, please provide your best mailing address. If not, leave this field blank.
Do you have any questions about COVID-19? If so, ask your question(s) in this field.
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