COVID 19 – Online Risk Assessment

Do you have symptoms of cough?

Rate the cough severity on a scale of 1‐10

Do you have symptoms of shortness of breath?

Rate the severity of shortness of breath on a scale of 1‐10

Do you have any of the following risk factors:

  • Fever > 100.0° F
  • Age ≥ 60 years
  • Diabetes
  • Chronic heart disease
  • Chronic lung disease
  • Chronic kidney disease
  • Receiving immunosuppressive medication
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