Co-Fight

Self-Assessment-Report Home

Output:

Confirm/Change your Age

Have you taken the Vaccine?

Yes No

If Yes how many doses?

First Dose Both Doses

Are you experiencing any of the following symptoms?

Cough Fever Difficulty in Breathing Sore throat Body ache Chest Congestion or runny nose Pink eyes Loss of smell and taste Hearing impairment Gastrointestinal symptoms None of These

Do you have any of the following pre-existing conditions?

Diabetes Hypertension Lung disease Heart Disease Kidney Disorder Asthma None of These

Which of the following applies to you?

I have recently interacted with a COVID-19 +ve person I examined a COVID-19 confirmed case None of the above