COVID-19 Event Attendee Symptom Questionnaire
Full Name
Email Address
Contact Number
Date of Attendance
In the past 14 days, have you experienced any of the following symptoms?
Fever or chills
Cough
Shortness of breath
Fatigue
Loss of taste or smell
Sore throat
Muscle or body aches
Headache
Nausea or vomiting
Diarrhea
None of the above
Have you been in close contact with anyone who has tested positive for COVID-19 in the last 14 days?
Yes
No
Have you been fully vaccinated for COVID-19?
Yes
No
Prefer not to say
Additional Comments (optional)