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COVID-19 SCREENING QUESTIONNAIRE Patient Name: ___Date: ___Age: ___ Sex: M F 1. Are you experiencing any cold or flulike symptoms such as fever, cough, shortness of breath, or sore throat? YES NO
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How to fill out covid cold and flu
How to fill out covid cold and flu
01
Wash your hands frequently with soap and water for at least 20 seconds.
02
Cover your mouth and nose with a tissue or your elbow when sneezing or coughing.
03
Avoid close contact with people who are sick.
04
Stay home if you are feeling unwell.
05
Clean and disinfect frequently touched objects and surfaces.
06
Wear a mask in public places where social distancing measures are difficult to maintain.
Who needs covid cold and flu?
01
Anyone who is experiencing symptoms of COVID-19, cold, or flu.
02
Individuals who have been in close contact with someone who has tested positive for COVID-19.
03
People who are at higher risk of developing severe complications from respiratory illnesses, such as older adults and individuals with underlying health conditions.
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What is covid cold and flu?
Covid cold and flu refers to a form for reporting symptoms of cold, flu, or COVID-19.
Who is required to file covid cold and flu?
Anyone who is experiencing symptoms of cold, flu, or COVID-19 is required to file covid cold and flu form.
How to fill out covid cold and flu?
To fill out the covid cold and flu form, one must report their symptoms accurately and provide any other relevant information requested.
What is the purpose of covid cold and flu?
The purpose of covid cold and flu form is to track and monitor the spread of cold, flu, and COVID-19 symptoms.
What information must be reported on covid cold and flu?
One must report their symptoms, any recent travel history, and contact with known COVID-19 cases on the covid cold and flu form.
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