COVID-19 At-Home Test Kit Survey
Do any of the following statements apply to you?
Please select the first option if ANY of these apply to you:
High Risk
- I am 65 years of age or older
- I have been told by my doctor that I am very overweight or obese
- I have a chronic condition (e.g. diabetes, high blood pressure, kidney disease or on dialysis, liver disease, lung disease, etc.)
- I have a heart condition (e.g. previous heart attacks, heart failure, etc.)
- I have a neurological condition that affects my ability to cough (e.g. had a stroke)
- I am pregnant
- I regularly use tobacco or nicotine products (e.g. cigarettes, e-cigarettes, vapes, hookah, etc.)
- I have a condition that weakens my immune system or makes it harder to fight infections (e.g. AIDS, cancer, lupus, rheumatoid arthritis, solid organ or bone marrow transplant, etc.)
- I am taking medication that weakens my immune system (e.g. steroids, chemotherapy, immunologics, etc.)