Coronavirus Questionnaire

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If you are sick or feeling unwell, please consult a Primary Care Provider. Your primary care provider knows your personal health history best and can address your health questions at the most exact level.

If you suspect you are infected with the virus that causes COVID-19 and are in need of testing, please take the questionnaire below to determine if you should speak to a specially-trained COVID-19 screener directly.

For further information about COVID-19, please visit our FAQ page and/or call the Nebraska Department of Health and Human Services Coronavirus Hotline at 402-552-6645.

Please note: testing for COVID-19 is limited nationwide and the CDC recommends the best way to protect yourself is to stay in your home and care for yourself at home.

If you develop emergency warning signs for COVID-19 get medical attention immediately. Emergency warning signs include:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in the chest
  • New confusion or inability to arouse
  • Bluish lips or face