Bridges Health COVID-19

Screening

Symptom Screening

Please answer accurately & thank you for helping prevent the spread of COVID-19.

1. In the past week, have you had any of these as new or worsening symptoms? Select all that apply.

* Close contact is within 6ft of a person for more than 15 minutes, or having direct physical contact like a hug or a handshake.

2. In the past 2 weeks, have you done any of these? Select all that apply.

Thanks for submitting this screen and helping prevent the spread of COVID-19!