COVID-19 Self Check form instruction for creators

• The following 6 questions are most commonly used COVID-19 self check questions. If any of these have a 'YES' answer, a more in-depth diagnosis may be required.
• Add more questions or pages if you need.
• The instruction you are reading now is a guide for form makers, so please delete it and use the self check form.

Did you visit any foreign countries within the last 14 days?

Do you live with a family member(or a domestic partner) who visited foreign countries within the 14 days?

Have you had contact with a confirmed COVID-19 patient within the last 14 days?

Did you visit any regional districsts or failities within Korea where mass outbreaks of the COVID-19 occurred within the last 14 days?

Have you ever been contacted by the Centers for Disease Control and Prevention to report that you have contacted a confirmed COVID-19 patient (or contact person)?

Do you currently have fever, respiratory symtom(cough, breathing difficulties, pneumonia), sore throat, or loss of taste or smell?

Did you answer the above questions without falsehood?