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1.
Are you currently experiencing any of these symptoms?
Fever and/or chills
Yes
No
* Required
Shortness of breath
Yes
No
* Required
Cough or barking cough (croup)
Yes
No
* Required
Decrease or loss of taste or smell
Yes
No
* Required
Muscle aches/joint pain
Yes
No
* Required
Extreme tiredness
Yes
No
* Required