Your COVID-19 (coronavirus) Symptoms Checker CVE

1
Information on the infection, SARS-CoV-2, and the disease, COVID-19, is at it's infancy. Testing is the ONLY accurate way to determine if your are positive for the virus and have COVID-19. While we have sourced credible information authorities in putting this survey and content together, the precision and accuracy is limited by the lack of well-designed studies. Do not construe any of the information as absolute. Always seek multiple credible sources and then form your opinion or develop your action plan with a licensed healthcare provider. Proceed only if you recognize the potential limitations of the data and information presented.* This field is required.To exit, close your browser or click on the "NO" button.
YES: I Recognize the LimitationsNO: I Choose not to Continue
2
1.0 Personal InformationPlease fill in all fields - NOT REQUIRED
First Name
Last Name
Male
Female
Gender
Please enter your email
Home Zip Code
Who sent your to this survey?
3
2.0 What is your age - by range?* This field is required.Age is considered the number 1 risk factor for severe symptoms from the CoVid-19 virus.
0 - 19
20 - 29
30 - 39
40 - 49
50 - 59
60 - 69
70 - 79
80+
4
AGE YES
5
Age is currently the greatest risk factor for having severe symptoms from COVID-19. You cannot change this risk but it's not the only risk. People with compromised immune function, regardless of age, adds to their susceptibility.

https://www.popsci.com/story/health/covid-19-coronavirus-mortality/
6
3.0 Have you recently traveled to a region of high risk for COVID-19?* This field is required.
No
Yes
Not sure
7
4.0 Have you been close to someone who recently traveled to a high risk area who is sick?* This field is required.
No
Yes
Not sure
8
5.0 Have you been around someone who is known to have the Coronavirus (COVID-19)?* This field is required.
No
Yes
Not sure
9
6.0 Have you been told by a health official that you may have been exposed to the virus?* This field is required.
No
Yes
Not sure
10
Exposure YES
11
Exposure Symptoms NO
12
7.0 Select ALL the symptoms you currently have.* This field is required.
Fever
Dry cough
Fatigue
Mucous production
Shortness of breath
Muscle or joint pain
Sore throat
Headache
Chills
Nausea or vomiting
Congestion
Diarrhea
Conjunctivitis
None
13
14
Your eyes may be telling you that you have COVID-19. Conjunctivitis or pink eye, is an irritation or inflammation of the conjunctiva, which covers the white part of the eyeball. It can be caused by allergies or a bacterial or viral infection.
15
Symptoms - YES
16
8.0 Explain your shortness of breath* This field is required.SELECT ALL THAT APPLY
Severe
Moderate
Mild
None
Intermittent
Consistent
Getting worse
Getting better
17
9.0 Do you have any of these SEVERE symptoms?* This field is required.SELECT ALL THAT APPLY
Difficulty breathing
Crushing chest pain
Loss of consciousness
Slurred speech
Gasping for air
Getting worse
None of these
18
10.0 Do you have any of the following chronic conditions* This field is required.
None / Not Applicable
Eye disease
High blood pressure
Heart disease
Diabetes
Respiratory / Lung disease
Gastrointestinal
Autoimmune (Arthritis)
Kidney disease
Liver disease
Weak immune system
Not sure
19
UNDERLYING YES
20
11.0 What medications are you currently taking?* This field is required.
Blood Thinner
Asthma Medication / Inhaler
Cholesterol Lowering / Statin
High Blood Pressure
COPD / Lung
Pain
Diabetes
Inflammation / Biologics
Sinusitis
Heart failure
Acid Reflux / Antacid
Cancer
Arthritis
Psoriasis
None / Not Applicable
21
What IS a weakened immune system?

If you have a chronic condition, you may assume you have a weakened immune system because your body must work extra hard to fight the underlying cause of that condition.

The Mayo Clinic provides the following information of immunity:

"Signs and symptoms differ depending on the type of primary immunodeficiency disorder, and they vary from person to person."

Signs and symptoms of primary immunodeficiency can include:

Frequent and recurrent pneumonia, bronchitis, sinus infections, ear infections, meningitis or skin infections

Inflammation and infection of internal organs

Blood disorders, such as low platelet counts or anemia

Digestive problems, such as cramping, loss of appetite, nausea and diarrhea

Delayed growth and development

Autoimmune disorders, such as lupus, rheumatoid arthritis or type 1 diabetes

Chemotherapy, HIV/AIDS, organ transplant, being pregnant, or prolonged steroid or other immunosuppresant drug also weakens your immune system.
22
If you don't feel consistently well, you may be immunocompromised which will make you more vulnerable to severe CoVid-19 symptoms.

The best way to determine your immune health is through a comprehensive blood test. Here is one we recommend. https://www.healthrevivalpartners.com/product-page/chronic-disease-temperature-and-consult
23
COVID-19 Symptoms Score 0-10 Scale (10 is most severe):
24
The severity of your symptoms or potential for symptoms - out of a possible high (severe) score of "10" is:

{covid19Symptoms} out of 10
25

Your situation is urgent. You should call your doctor go to the nearest Emergency Room. Take action IMMEDIATELY. If you cannot safely get there on your own, call 911.

IMPORTANT: You should call ahead to make sure the ER can prepare for your arrival. Be sure to tell them that you were potentially exposed to the coronavirus and explain your severe symptoms.

https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html
26

Your symptoms could be contagious, and you should take precautions to not spread germs that can get others sick.
Avoid contact with the elderly, persons with chronic medical conditions, public transportation, and crowded places. Cover your coughs and sneezes. Be sure to wash your hands often for 20 seconds with soap and water.

Follow these steps recommended by the CDC:

https://www.cdc.gov/coronavirus/2019-ncov/about/steps-when-sick.html

COVID-19 is spreading quickly, and you should be on the lookout for symptoms such as fever, coughing, or shortness of breath.

Nasal congestion, sore throat, or runny nose are usually cold symptoms, but may sometimes also occur with COVID-19.
Contact your provider if these symptoms or other symptoms don’t improve within 5-7 days, or if they become severe.

Want advice? Call the COVID-19 Call Center at 844-442-5224 or your doctor.
27

Because you have had possible exposure to the virus, you may have COVID-19 even if you're not showing symptoms. It is best if you isolate yourself at home and away from others for at least 14 days.

Try to keep at least 6 feet (1.8 m) away from other people.

COVID-19 is spreading quickly, and you should be on the lookout for symptoms such as fever, coughing, or shortness of breath.

Nasal congestion, sore throat, or runny nose are usually cold symptoms, but may sometimes also occur with COVID-19.
Contact your provider if these symptoms or other symptoms don’t improve within 5-7 days, or if they become severe.

What advice? Call the COVID-19 Call Center at 844-442-5224 or your doctor.
28

Due to your age or underlying conditions, COVID-19 may affect you more seriously than others, and you should take every measure to avoid catching it or get treatment immediately if you notice symptoms.

Here is some info from the CDC for your at-risk group:

https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/high-risk-complications.html

COVID-19 is spreading quickly, and you should be on the lookout for symptoms such as fever, coughing, or shortness of breath.

Nasal congestion, sore throat, or runny nose are usually cold symptoms, but may sometimes also occur with COVID-19.

Want advice? Call the COVID-19 Call Center at 844-442-5224 or your doctor.
29

Based on your answers you have a low risk of being infected with the SARS-CoV-2 virus. The only way to know for sure is to get tested. Follow CDC guideless to limit exposure and the possible spread of the virus. Here is a chart with some useful suggestions regardless of your exposure status:

Want advice? Call the COVID-19 Call Center at 844-442-5224 or your doctor.
30
You Chose: "NO: I Choose not to Continue"

Please exit this survey by closing this browser instance on clicking the "back" button on your browser.

If you intended to chose "YES," please click the "PREVIOUS" button at the bottom left of this screen.
31
Concerned about going to a doctors office? Consider telehealth (virtual care). Go to:

https://www.gomd.care/contact-us/

or call: 1-866-979-1349
32
When you click on the SUBMIT button you will be redirected to our solutions page where you may order diagnostic testing, consultations, or health programs. Enter the promo code 10 to receive a 10% discount on all services.Click SUBMIT on the lower right corner to save and exit.
Should be Empty: