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COVID-19 Screening for Donors
| Yes | No | |
|---|---|---|
| Have you had a contact with a person known to have COVID-19 infection? |
| Have you experienced any of the following symptoms in the past 48 hours? |
||
|---|---|---|
| Yes | No | |
| Fever or chills | ||
| Cough | ||
| Shortness of breath or difficulty breathing | ||
| Fatigue | ||
| Muscle or body aches | ||
| Headache | ||
| New loss of taste or smell | ||
| Sore throat | ||
| Congestion or runny nose | ||
| Nausea or vomiting | ||
| Diarrhea |
