TEAM ND AGENCY COVID-19 FACILITY SCREENING
Have you traveled out of the country or internationally within the past 14 days?
Have you had new onset of symptoms you feel are consistent with viral illness such as Cough, Shortness of Breath or Difficulty Breathing, Fever, Chills, Muscle Pain, Sore Throat, or New Loss of Taste or Smell within the past 14 days?
Have you been diagnosed with COVID-19 or been contacted by the Department of Health as determined to be a close contact?
a. If yes, have you been released from quarantine or isolation by the Department of Health?