Covid Safety Check

Complete this short safety check using made up information. This form does not provide a medical diagnosis. Do not enter private medical information.

    This safety check is for a class project only. Use made up information and do not enter private medical information.

    Are you experiencing a fever?

    Are you experiencing a cough?

    Are you having trouble breathing?

    Have you recently been around someone who was sick?

    Would you like to receive general prevention information?