Have you had any of the following symptoms: Shortness of breath or difficulty breathing; cough or other respiratory symptoms; headache; chills; muscle aches; sore throat; congestion or runny nose; new loss of taste or smell; nausea, vomiting, or diarrhea; pain, redness, swelling or rash on toes or fingers; new rash or other skin symptoms; high-risk exposure or prolonged contact with a crowd without physical distancing? *
