In the past 10 days:
Has anyone in your household traveled outside of the United States?
Has any member of your household been exposed to someone who has been diagnosed with COVID-19 or had a positive or pending result for COVID-19?
Has anyone in your household been diagnosed with, tested for or suspected of COVID-19?
Is anyone in your household experiencing any fever, cough, shortness of breath, runny nose, sore throat, congestion, headache, new onset of vomiting or diarrhea, or complete loss of taste or smell?