Investigator name and surname
Centre name
Centre’s ID	/__/__/__/
University hospital	/__/
General hospital	/__/
Outpatient service	/__/
Other (specify)	/__/__/
Town	/__/__/
Country	/__/__/
Does the institution have a record of all patients assessed for COVID infection?	/Yes//No/
Number of patients assessed in the institution for COVID infection
Estimated	/__/__/__/
Calculated (absolute numbers)	/__/__/__/
Number of patients with confirmed COVID infection
Estimated	/__/__/__/
Calculated (absolute numbers)	/__/__/__/
CENTRE profiling
Data first patient entered	/__/__//__/__//__/__/
Data last patient entered	/__/__//__/__//__/__/
Consecutive patients with neurological problems	/R//P/
Consecutive patients with neurological problems seen by a neurologist	/R//P/
Consecutive patients admitted to the hospital/unit	/R//P/
Non‐consecutive patients seen by a neurologist	/R//P/
Non‐consecutive patients admitted to the hospital evaluated by a neurologist	/R//P/
Non‐consecutive patients admitted to the hospital/unit	/R//P/