Tellico Village COVID-19 Back-To-Normal watch

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http://bit.ly/BTN-consent describes how we keep all data confidential

Name or anonymous ID

Have you ever had COVID-19 or were exposed to someone who potentially had it? (more than one option can be selected)

Probably never experienced COVID-19

Always tested negative for COVID-19

Had mild or asymptomatic form of COVID-19

Had moderate form of COVID-19

Survived severe COVID-19 or a long hauler

Tested positive despite vaccination and booster(s)

Was exposed but did not develop symptoms

Had COVID-19-like illness more than once

Other:

How many vaccine doses did you have?

Any long-term or unusual side effects of vaccination, booster shots, long COVID symptoms or new health issues? Other thoughts or comments?

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