Covid Health Screening | JRP Home Solutions | Homes for Rent in Jackson, Michigan

Name*

First Last

Phone*

Email

Do you have a fever greater than 100F?*

In the past 14 days have you had close contact with an individual diagnosed with Covid-19?*

Have you traveled to an "active or imminent outbreak" location or "at risk of an outbreak" location in the last 14 days?*

Do you have a cough that started or has gotten worse in the last 48 hours?*

Do you have shortness of breath that started in the last 48 hours?*

Do you have muscle aches that started or has gotten worse in the last 48 hours?*

In the last 48 hours have you felt significantly more tired than usual?*

Do you have a runny nose or nasal congestion that started or has gotten worse in the last 48 hours?*

Do you have a sore throat that started or has gotten worse in the last 48 hours?*

Do you have nausea or diarrhea that started or has gotten worse in the last 48 hours?*

In the last 48 hours, have you had new loss of taste or smell?*

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