Your home address:
Have you experienced any of the following symptoms of COVID-19 in the last 48 hours?
Have you tested positive for COVID-19 in the past 10 days
Are you currently awaiting results from a COVID-19 test?
Have you been diagnosed with COVID-19 in the past 10 days?
Have you been told that you are suspected to have COVID-19 in the past 10 days?