HAWK MASTER COVID QUESTIONNAIRE
Name *
Do you have any of these symptoms that are not caused by Another condition? *
Within the past 14 days have you had contact with anyone that you know that had COVID‐19 or COVID like symptoms? *
Have you had a positive COVID‐19 test in the past 10 days? *
Within the past 14 days, has a public health or medical professional told you to self‐isolate or self‐quarantine because of concerns about COVID‐19 infection? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy