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COVID-19 Questionnaire Adult Primary Vermiform C19aPVECHOwide Cohort Version 01.30 / April 9, 2020Page 1 of 9COHORT IDS ITE PARTICIPANT IDPINCOHORT VISIT ID__ __ __ __ ____ __ __ _______ __ _____FORM
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Obtain a copy of the COVID-19 questionnaireadult primary version.
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Fill out your personal information including name, date of birth, contact information, and any relevant medical history.
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Individuals who are seeking medical care or entering a healthcare facility need to fill out the COVID-19 questionnaireadult primary version.
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The covid-19 questionnaireadult primary version is a form designed to gather information from adults about their potential exposure to covid-19.
Adults are required to fill out and file the covid-19 questionnaireadult primary version.
The covid-19 questionnaireadult primary version can be filled out online or on paper, following the instructions provided.
The purpose of the covid-19 questionnaireadult primary version is to collect data on covid-19 exposure and symptoms among adults for tracking and monitoring purposes.
Information such as recent travel history, possible covid-19 symptoms, and close contact with confirmed cases must be reported on the covid-19 questionnaireadult primary version.
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