1. Within the past 24 hours have you experienced a fever of 100.4 or greater?
2. Do you feel sick with any of these “most common” symptoms of COVID-19?
■ Fever or chills
■ Cough
■ Sore Throat
■ Shortness of breath or difficulty breathing
3. Do you feel sick with any TWO of the less common symptoms of COVID-19?
■ Nausea or vomiting
■ Diarrhea
■ Fatigue
■ Headache
■ Congestion/runny nose
4. Have you been in close contact with a person who is confirmed to have COVID-19?
5. Have you traveled outside the State of Maine in the past 14 days?