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. 2021 May 3;12:646570. doi: 10.3389/fphar.2021.646570

TABLE 1.

Questionnaire.

1. Basic epidemiological data
 Age, years
 Sex
 Type of care activity
  A. Intensive care or first aid doctor
  B. Hospital internal medicine physicians
  C. Dentistry
  D. Doctor working with discharged patients during the pandemic
  E. General practitioner and pediatrician
  F. Outpatient specialist
  G. Other
2. Did you receive the swab for COVID-19?
3. If yes, indicate the result among these:
  Positive
  Negative
4. Did you receive the serological examination for COVID-19?
5. If yes, indicate the result among these:
  Negative
  Positive only for IgM
  Positive only for IgG
  Positive for both IgM and IgG
6. Have you been infected by the new SARS-CoV2? (answer yes only in case of positive swab and/or serology)
7. If yes, indicate the clinical feature among the following:
  Asymptomatic form
  Pauci-symptomatic form (fever> 37.5°, cough, and cooling symptoms)
  Pneumonia and/or respiratory distress
8. Did you receive BCG vaccine?
9. If yes, indicate the year of execution of the vaccine (if you do not remember the year, indicate the year of enrolment in the degree course)