1. Prior to your hospital presentation, what was your living situation? (Lived alone, lived with roommates, lived in a group home, lived in a nursing home, lived in a rehab, other) |
2. How many people lived with you? |
3. Did any of them show signs of infection prior to admission? |
4. At the time of your presentation, did you work? |
5. What type of work setting? (Office, School/child care, factory/warehouse, construction/landscaping, facilities management, restaurant/food industry, retail, other) |
6. Approximately how many people do you work with? |
7. Was anybody at work sick prior to your presentation to Somerset Hospital? |
8. Do you commute to New York City regularly? |
9. Do you use public transportation? If yes, what type? (Train, bus, other) |
10. In the 3 weeks prior to your presentation to Somerset did you visit a nursing home, hospital or long-term care facility? |
11. Approximately how many of these events did you attend? |
12. Approximately how many people were in attendance? |
13. Have you identified any other places/events where you think you may have been exposed to coronavirus? If yes please provided details. |