List of COVID-19 Self Assessment Survey Questions
The following questions are included in this COVID-19 Self Assessment Survey Template.
- Are you experiencing any of the following symptoms? Please tick the relevant one:
- Are you experiencing any of the following symptoms?
- Have you been outside of the country within the last 14 days?
- Have you returned your town/city from other parts of the Country within the last 14 days?
- In the last 14 days, have you —
- Full Name
- Mobile Number