Have you experienced a fever of 100.4 degrees or greater, a new cough, new loss of taste or smell, or shortness of breath within the past 10 days?

In the past 10 days, have you tested positive for COVID-19 using a test that tested saliva or used a nose or throat swab (not a blood test)?

To the best of your knowledge, in the past 14 days, have you been in close contact with anyone while they had COVID-19?

In the past 14 days, have you traveled to or from a high risk state?