Risk assessment for COVID-19 ID: 860 242 346 753

There is a
LOW RISK
of COVID-19 disease

Further information at:

https://www.google.com/search?q=covid-19

ID  860 242 346 753

Age: 41-50 Date: 4/9/20
Sex: female Time: 9:56 AM
Patient File
Personal comments:  none

Reported: Negated: Unsure:

O Fatigue O Cough O Fever

O Dyspneas O Contact COVID-19 Case
O Running Nose O Malaise
O Stay in COVID-19 Risk Area O Diarrheas
O Smoking
O Sore Throat
O Headache
O Loss of Smell
O Loss of Taste

That's how common the symptom is with COVID-19     frequently   sometimes   rare

This questionnaire does not replace diagnosis by medically trained personnel or a doctor. This questionnaire helps you to understand
whether you have symptoms relevant to COVID-19 disease and helps you to get a first risk assessment according to Symptoma's
statistical algorithms. No liability can be accepted for the correctness of the evaluation.

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Symptoma Service Team Tel.: +43 662 45 82 06 • office@symptoma.com • www.symptoma.com
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