Glad you're feeling okay. Question 1 of 5Q1. Which of the following best describes you:I’m good, thanks!I may have been exposed to COVID-19, but feel fine.I tested positive for COVID-19, but feel fine now.I tested positive for COVID-19, have been medically cleared and feel fine now. Glad you're feeling okay. Question 2 of 5Q2. How many days since you've been exposed or confirmed positive?123456789101112131415More than 15 days Glad you're feeling okay. Question 3 of 5Q3. How many people have you been in contact with (within 6 ft.) since you've been exposed or confirmed positive?01 - 45 - 1011 - 2020+ Glad you're feeling okay. Question 4 of 5Did you go anywhere the past two days? See family/friends Doctor/Hospital Beach/Park Grocery/Drug Store Pickup food Work Other No, just stayed at home Family And Friends LocationStreetCityZip Code Please list the neighborhood city and zip code of the family and friends house you visited.Medical LocationMedical BuildingCityZip Code Please list the medical building, city and zip code of the doctors/hospitals you have been to.Beach Park LocationBeach/ParkCityZip Code Please list the beach/park, city and zip code of the locations you have been to.Grocery/Drug Store LocationStoreShopping CenterCityZip Code Please list the store name, shopping center (if known), city and zip code of the stores you have been to.Food LocationNameShopping CenterCityZip Code Please list the name, shopping center (if known), city and zip code of the food location you visited.Work LocationNameStreetCityZip Code Please list the company, street, city and zip code of the work location you visited.Other LocationLocationStreetCityZip Code Please list the location name, neighborhood city and zip code you have been to. Glad you're feeling okay.Glad you're feeling okay. Question 5 of 5Q2. Please enter the nearest intersection to your residence.Q5. Please enter the nearest intersection to your residence.Intersection Street 1 Intersection Street 2 ZipcodeNameThis field is for validation purposes and should be left unchanged. Exit Survey (Current survey will be cleared)