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. 2024 Nov 19;11:1395420. doi: 10.3389/fmed.2024.1395420

Table 1.

Screening survey for identifying cases of PCC.

Screening questions from household pulse survey
Question Answer choices
1. Have you ever tested positive for COVID-19? Yes or No
2. How would you describe your coronavirus symptoms? I had no symptoms; I had mild symptoms; I had moderate symptoms; I had severe symptoms
3. Did you have any symptoms lasting 3 months or longer after COVID-19? Yes or No
4. Do you have symptoms now? Yes or No
5. Do these long-term symptoms* reduce your ability to carry out day-to-day activities compared with before COVID-19? Yes, a lot; Yes, a little; Not at all

*Long term symptoms may include tiredness or fatigue, difficulty thinking and concentrating, forgetfulness, or memory problems (sometimes referred to as “brain fog”), difficulty breathing or shortness of breath, joint or muscle pain, fast-beating or pounding heart (also known as heart palpitations), chest pain, dizziness on standing, menstrual changes, changes to taste/smell, or inability to exercise.

Source: National Center for Health Statistics. U.S. Census Bureau, Household Pulse Survey, 2022–2023. Long COVID. Generated interactively: from https://www.cdc.gov/nchs/covid19/pulse/long-covid.htm