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Have you been exposed to anyone under evaluation for exposure to Covid-19?*

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Do you currently or in the previous 72 hours have had any of the following symptoms: fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea?*

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