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Corona Possibility

First Page // Corona Possibility

Question : 1 / 8

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1. How old are you?

0-20 21-50 51-65 65+

Question : 2 / 8

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2. Select your gender

Male Female Other

Question : 3 / 8

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3. Please select your current body temperature

Body temperature is normal 96°F-98.6°F Fever 98.6°F-102°F High Fever >102°F I don't know

Question : 4 / 8

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4. Are you experiencing these symptoms? (You can select more than one)

Shortness of breath Dry cough Sore throat Weakness None

Question : 5 / 8

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5. Are you also experiencing these additional symptoms? (You can select more than one)

Stomach pain, vomiting, or diarrhea Chest pain and feeling the pressure Not getting pain in the muscles Nose does not smell Itchy or red eyes Feeling drowsy None

Question : 6 / 8

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6. Select your recent travel information

I haven't traveled anywhere Didn't go near anyone with symptoms I have traveled in the affected area or abroad in the last 14 days I have been very close to the corona patient in the last 14 days

Question : 7 / 8

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7. Do you already have these diseases? (You can select more than one if any)

Lung problems Heart problems High blood pressure Diabetes Kidney problems Cancer None

Question : 8 / 8

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8. Do you smoke?

Yes No

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