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Exposure Risk 

Have you traveled by:

  • Airplane?
  • Train?
  • Boat / Cruise?
  • Bus?
  • Other Public Transportation?

Have you been in close contact with someone in the last 14 days who has: 

  • Cough?
  • Fever?

Have you been in high-traffic, densely-populated places (more than 10 people) with someone in the last 14 days:

  • Shopping Mall?
  • Grocery Store?
  • Theater?
  • Sporting Event?
  • Clinic or Hospital?
  • Nursing Homes?
  • Pool?
  • Church?
  • School?
  • Any other public place with more than 10 people?
  • Any other public place where you have been in 6 feet of someone?

 

 

  

  Yes  |  No

 

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