1) Have you experienced any of the following symptoms in the last 48 hours?
- Fever greater than 100.4 degrees Fahrenheit
- Cough
- Shortness of breath or difficulty breathing
- Muscle/body aches
- Headache
- New loss of smell or taste
- Sore throat
- Congestion or running nose
- Nausea or vomiting
- Diarrhea
- Fatigue
2) Has anyone in your immediate house tested positive for COVID-19 in the past 10 days?
3) Domestic travel Please review KDHE Travel-Related Areas
4) International travel Please review KDHE Travel-Related Areas
5) Have you attended an out-of-state mass gathering of 500 or more where you did not socially distance (6 feet) and wear a mask?
6) Have you been on a cruise ship or river cruise in the last 14 days?