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MM COVID-19 Health Questionnaire Patient Name___ Please answer Y/N to the following questions. Have you or someone in your household:___Had a fever above 101 degrees?___Had shortness of breath or
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The covid questionnaire 2docx is a form used to gather information related to an individual's potential exposure to COVID-19.
Any individual who may have been exposed to COVID-19 or is exhibiting symptoms is required to fill out the covid questionnaire 2docx.
To fill out the covid questionnaire 2docx, one must provide accurate information regarding their potential exposure to COVID-19 and any symptoms they may be experiencing.
The purpose of the covid questionnaire 2docx is to assess an individual's risk of having COVID-19 and to take necessary precautions to prevent further spread of the virus.
Information such as recent travel history, exposure to individuals with COVID-19, and any symptoms experienced must be reported on the covid questionnaire 2docx.
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