| Please take your oral temperature and assess your oxygen saturation with your pulse oximeter. | Oral temperature. | ________ F |
| Time temperature was obtained. | ________ AM/PM | |
| Blood oxygen saturation. | ________ % | |
| Did you take a nasal swab today (study day 1–10,14,21,28)? | Yes / No | |
| Have you taken your study drug as prescribed in the last 24 h? (study day 1–10) | Yes / No | |
| If it is written on your schedule (clinic visit day 3, 14, 28): did you collect your stool sample for your next visit? | Yes / No |
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