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COVID-19 Experiences
Tell GPB about your personal experience battling and recovering from COVID-19
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Did you test positive for COVID-19?
Yes
I'm considered a suspected case
No, but I have COVID-19 symptoms
Other:
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If you answered "other," please explain.
Your answer
Did you receive treatment for COVID-19?
Yes, from urgent care/emergency room
Yes, I was hospitalized
Yes, from my primary care doctor
No, I recovered at home/received care from family/friends
Other:
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If you answered "other," please explain.
Your answer
Are you considered "recovered" from COVID-19? Check all that apply.
Yes, I have tested negative after a previous positive test
Yes, I've been released from the hospital
Yes, I've returned to work
Yes, the worst of my symptoms have abated
No, I am still hospitalized or seriously ill with COVID-19
If you are recovering from COVID-19, do you still have symptoms?
Yes
No
Clear selection
Tell us about your recovery and any lingering symptoms or difficulties you have.
Your answer
Have other members of your family or close circle contracted COVID-19
Yes, one person
Yes, multiple people
No
Other:
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Would you be interested in talking with GPB about your experience with COVID-19?
Yes
No
Maybe
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If you answered "yes" or "maybe," please let us know how to reach you.
Your answer
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