Daily Symptoms Survey
Please fill out this form every day before coming to any STAR facilities. Questions are based on the CDC Guidelines. Please carefully and truthfully answer the questions.
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First, Last Name *
Have you experienced any of the following symptoms in the past 48 hours: fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea? *
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