Table 1.

COVID-19 screening questionnaire

COVID-19 Questionnaire
History	Question	Yes	No
Occupation	Was the patient working at a grocery shop/bank/hospital/etc., which potentially involves exposure to large group of people in the last 28 days
Travel	National travel (Inter-district or Inter-state) particularly to hotspot areas or international travel in past 28 days
Family	Any travel by family members to hotspots (Inter-district or Inter-state) or international travel in past 28 days
	Any history of symptoms (URI/LRI/FEVER/DIARRHOEA) in past 28 days
	Any family member on COVID Duty (Police/Army/Doctor/Drivers etc.) living in same house
Contact	Any contact with suspected or diagnosed COVID Case in the past 28 days
Symptoms (Current or in last 28 days)	Fever
	LRTI symptoms - Cough/Expectoration/Breathlessness
	URTI Symptoms - Sore throat/Nasal block/Rhinorrhoea/Cough
	GI Symptoms - Diarrhoea
For emergency procedures[16]
Please score the above sheet, but can go ahead with surgery with full PPE in designated operating rooms. A pre or post-operative consultation from an infectious disease (ID) specialist or General Physician. It is also advised that nasopharyngeal swab/ blood be sent preferably for COVID-19 testing* pre-operatively. Operating team may not be able to wait for results before proceeding with surgery.
For semi urgent/elective procedures
1. If the answer to all the questions above is NO, then may proceed with surgery with preferably testing for COVID-19.*
2. If the answer to any of the above is YES – please consult infectious diseases specialist before proceeding.
*Either RT-PCR of nasopharyngeal swab OR protective serum IgG level.