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In the last 14 days, have you had any symptoms of COVID-19, including fever, cough, shortness of breath, general malaise, muscle aches, loss of sense of smell or taste, diarrhea, nausea or feel unwell or have a runny/stuffy nose, sore throat or sneezing?
Within the past 14 days, have you been caring for, or living with, someone diagnosed with COVID-19 or symptoms of COVID-19?
Within the past 14 days you have been advised to home quarantine because of an exposure to COVID-19?
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