[vc_row css=”.vc_custom_1585796022997{padding-top: 90px !important;}”][vc_column width=”1/6″][/vc_column][vc_column width=”2/3″][vc_single_image image=”2147″ img_size=”full” alignment=”center”][vc_custom_heading text=”COVID-19 Symptom Self-Assessment Tool” font_container=”tag:h1|text_align:center” use_theme_fonts=”yes”][vc_column_text]This self-assessment tool, developed with the MidSouth Pain, will help determine whether you may need further assessment or testing for COVID-19. You can complete this assessment for yourself, or on behalf of someone else.

If you have respiratory symptoms and a serious ongoing condition or are in the third trimester of pregnancy, please follow the advice of your specialist.

Most people do not need to be tested for COVID-19 because it will not change your care.

People who do not need to be tested for COVID-19 include:
– People without symptoms
– People who have mild respiratory symptoms that can be managed at home
– Returning travelers

Who should be tested for COVID-19?

People with respiratory symptoms who may require testing for COVID-19 include people who are:

– Hospitalized, or likely to be hospitalized
– Health Care Workers
– Residents of long-term care facilities
– Part of an investigation of a cluster or outbreak

Anyone who has symptoms – including a fever, cough, sneezing, or sore throat – should self-isolate for 10 days. Continue to complete this assessment to determine if you may need care.[/vc_column_text][vc_row_inner][vc_column_inner][vc_column_text css=”.vc_custom_1586300887661{margin-top: 50px !important;margin-bottom: 2px !important;padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;background-color: #f5f5f5 !important;border-radius: 4px !important;}”]

Are you experiencing any of the following symptoms:

– Difficulty breathing (e.g. unable to finish sentences because of your breathing, Short of breath at rest, unable to lie down because of difficulty breathing);
– Chest pain;
– Having a very hard time waking up;
– Fainted or lost consciousness; OR
– Difficulty managing your daily life because of breathing difficulties.[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_row_inner css=”.vc_custom_1585788677336{margin-top: 2px !important;padding-top: 1px !important;padding-bottom: 1px !important;}”][vc_column_inner][ultimate_modal btn_size=”md” btn_bg_color=”#1e73be” btn_bg_hover_color=”#4486bf” modal_on_align=”left” btn_text=”YES” modal_size=”medium” modal_style=”overlay-zoomin” overlay_bg_color=”#020202″ overlay_bg_opacity=”88″ content_bg_color=”#ffffff” header_bg_color=”#ffffff” img_size=”32″ content_text_color=”#020202″]

[/ultimate_modal][vc_btn title=”NO” style=”3d” color=”danger” size=”sm” align=”left” link=”url:%23no2|||”][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”yes” content_placement=”middle” el_id=”no2″][vc_column_inner][vc_column_text css=”.vc_custom_1586300484725{margin-top: 110px !important;margin-bottom: 2px !important;padding-top: 30px !important;padding-right: 20px !important;padding-bottom: 30px !important;padding-left: 20px !important;background-color: #efefef !important;border-radius: 4px !important;}”]

Are you experiencing any of the following:

– Mild to moderate shortness of breath
– Inability to lie down because of difficulty breathing
– Chronic health conditions that you are having difficulty managing because of difficulty breathing.[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_row_inner][vc_column_inner css=”.vc_custom_1585789039431{padding-top: 1px !important;}”][ultimate_modal btn_size=”md” btn_bg_color=”#1e73be” btn_bg_hover_color=”#4486bf” modal_on_align=”left” btn_text=”YES” modal_size=”medium” modal_style=”overlay-zoomin” overlay_bg_color=”#020202″ overlay_bg_opacity=”88″ content_bg_color=”#ffffff” header_bg_color=”#ffffff” img_size=”32″ content_text_color=”#020202″]

Please consult your family doctor.

If you are unable to reach your regular health care provider. Go directly to your nearest emergency department or Call 911.[/ultimate_modal][vc_btn title=”NO” style=”3d” color=”danger” size=”sm” align=”left” link=”url:%23no3|||”][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”yes” el_id=”no3″][vc_column_inner][vc_column_text css=”.vc_custom_1586300272985{margin-top: 110px !important;margin-bottom: 2px !important;padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;background-color: #efefef !important;border-radius: 4px !important;}”]

Are you experiencing any of the following:

– Fever
– Cough
– Sneezing
– Sore throat[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_row_inner css=”.vc_custom_1586300282273{margin-top: 1px !important;padding-top: 1px !important;padding-bottom: 1px !important;}”][vc_column_inner css=”.vc_custom_1585789039431{padding-top: 1px !important;}”][ultimate_modal btn_size=”md” btn_bg_color=”#1e73be” btn_bg_hover_color=”#4486bf” modal_on_align=”left” btn_text=”YES” modal_size=”medium” modal_style=”overlay-zoomin” overlay_bg_color=”#020202″ overlay_bg_opacity=”88″ content_bg_color=”#ffffff” header_bg_color=”#ffffff” img_size=”32″ content_text_color=”#020202″]

Please stay at home.

As a precaution, the Department of Health is asking anyone with symptoms (fever, cough, sneezing, or sore throat) to stay home for 10 days. If your symptoms worsen, call your family physician. If you are unable to reach your regular health care provider, Call 911.

Your self-assessment is not complete.
Finish the remaining questions to obtain complete recommendations on what steps you should take.[/ultimate_modal][vc_btn title=”NO” style=”3d” color=”danger” size=”sm” align=”left” link=”url:%23no4|||”][/vc_column_inner][/vc_row_inner][vc_row_inner el_id=”no4″][vc_column_inner][vc_column_text css=”.vc_custom_1586300344101{margin-top: 110px !important;margin-bottom: 2px !important;padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;background-color: #efefef !important;border-radius: 4px !important;}”]

In the past 14 days have you returned from travel to any other locations outside of USA?

Travel includes passing through an airport.[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_row_inner css=”.vc_custom_1586300350466{margin-top: 1px !important;padding-top: 1px !important;padding-bottom: 1px !important;}”][vc_column_inner css=”.vc_custom_1585789039431{padding-top: 1px !important;}”][ultimate_modal btn_size=”md” btn_bg_color=”#1e73be” btn_bg_hover_color=”#4486bf” modal_on_align=”left” btn_text=”YES” modal_size=”medium” modal_style=”overlay-zoomin” overlay_bg_color=”#020202″ overlay_bg_opacity=”88″ content_bg_color=”#ffffff” header_bg_color=”#ffffff” img_size=”32″ content_text_color=”#020202″]

Please self-isolate for 14 days. You do not need testing for COVID-19.

Since you don’t have symptoms, you do not need testing for COVID-19 at this time. However, there’s a chance you could get sick since it’s less than 14 days since your exposure. You should self-monitor for any symptoms (fever, cough, sneezing, sore throat, or difficulty breathing). If you begin to develop these, you should take this self-assessment again.

If you are a health care worker, follow the advice of your employer.

If you need more information, go to Midsouthpain Covid-19 website.

If you are experiencing symptoms other than COVID-19, contact your family physician. If you are unable to reach your regular health care provider, contact 911.[/ultimate_modal][vc_btn title=”NO” style=”3d” color=”danger” size=”sm” align=”left” link=”url:%23no5|||”][/vc_column_inner][/vc_row_inner][vc_row_inner el_id=”no5″][vc_column_inner][vc_column_text css=”.vc_custom_1586300361217{margin-top: 110px !important;margin-bottom: 2px !important;padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;background-color: #efefef !important;border-radius: 4px !important;}”]

Did you provide care or have close contact with a person with COVID-19

(probable or confirmed) while they were ill (cough, fever, sneezing, or sore throat)?[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_row_inner css=”.vc_custom_1586300368182{margin-top: 1px !important;padding-top: 1px !important;padding-bottom: 1px !important;}”][vc_column_inner css=”.vc_custom_1585789039431{padding-top: 1px !important;}”][ultimate_modal btn_size=”md” btn_bg_color=”#1e73be” btn_bg_hover_color=”#4486bf” modal_on_align=”left” btn_text=”YES” modal_size=”medium” modal_style=”overlay-zoomin” overlay_bg_color=”#020202″ overlay_bg_opacity=”88″ content_bg_color=”#ffffff” header_bg_color=”#ffffff” img_size=”32″ content_text_color=”#020202″]

Please self-isolate for 14 days. You do not need testing for COVID-19.

Since you don’t have symptoms, you do not need testing for COVID-19 at this time. However, there’s a chance you could get sick since it’s less than 14 days since your exposure. You should self-monitor for any symptoms (fever, cough, sneezing, sore throat, or difficulty breathing). If you begin to develop these, you should take this self-assessment again.

If you are a health care worker, follow the advice of your employer.

If you need more information, go to Midsouthpain Covid-19 website.

If you are experiencing symptoms other than COVID-19, contact your family physician. If you are unable to reach your regular health care provider, contact 911.[/ultimate_modal][vc_btn title=”NO” style=”3d” color=”danger” size=”sm” align=”left” link=”url:%23no6|||”][/vc_column_inner][/vc_row_inner][vc_row_inner el_id=”no6″][vc_column_inner][vc_column_text css=”.vc_custom_1586300377059{margin-top: 110px !important;margin-bottom: 2px !important;padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;background-color: #efefef !important;border-radius: 4px !important;}”]

Did you have close contact

with a person who travelled outside of United States in the last 14 days who has become ill (cough, fever, sneezing, or sore throat)?[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_row_inner css=”.vc_custom_1585793769865{margin-top: 1px !important;padding-top: 1px !important;padding-bottom: 1px !important;}” el_id=”no6″][vc_column_inner css=”.vc_custom_1585789039431{padding-top: 1px !important;}”][ultimate_modal btn_size=”md” btn_bg_color=”#1e73be” btn_bg_hover_color=”#4486bf” modal_on_align=”left” btn_text=”YES” modal_size=”medium” modal_style=”overlay-zoomin” overlay_bg_color=”#020202″ overlay_bg_opacity=”88″ content_bg_color=”#ffffff” header_bg_color=”#ffffff” img_size=”32″ content_text_color=”#020202″]

Please self-isolate for 14 days. You do not need testing for COVID-19.

Since you don’t have symptoms, you do not need testing for COVID-19 at this time. However, there’s a chance you could get sick since it’s less than 14 days since your exposure. You should self-monitor for any symptoms (fever, cough, sneezing, sore throat, or difficulty breathing). If you begin to develop these, you should take this self-assessment again.

If you are a health care worker, follow the advice of your employer.

If you need more information, go to Midsouthpain Covid-19 website.

If you are experiencing symptoms other than COVID-19, contact your family physician. If you are unable to reach your regular health care provider, contact 911.[/ultimate_modal][ultimate_modal btn_size=”md” btn_bg_color=”#ff675b” btn_bg_hover_color=”#ff8077″ modal_on_align=”left” btn_text=”NO” modal_size=”medium” modal_style=”overlay-zoomin” overlay_bg_color=”#020202″ overlay_bg_opacity=”88″ content_bg_color=”#ffffff” header_bg_color=”#ffffff” img_size=”32″ content_text_color=”#020202″]

Since you don’t have any COVID-19 symptoms, you don’t need to be tested for COVID-19.

Please self-monitor, wash your hands frequently, and practice physical distancing. If you develop any symptoms (fever, cough, sneezing, sore throat, or difficulty breathing), or become aware of any potential exposures to cases of COVID-19, take this self-assessment again.

If you need more information, go to Midsouthpain Covid-19 website.

If you are experiencing symptoms other than COVID-19, contact your family physician. If you are unable to reach your regular health care provider, contact 911.[/ultimate_modal][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/6″][/vc_column][/vc_row][vc_row el_id=”no77″ css=”.vc_custom_1585794972571{margin-top: 40px !important;}”][vc_column width=”1/6″][/vc_column][vc_column width=”2/3″ css=”.vc_custom_1585795729936{padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;border-radius: 3px !important;}”][vc_custom_heading text=”COVID-19 Care Advice” font_container=”tag:h2|text_align:left|color:%23ffffff” use_theme_fonts=”yes” css=”.vc_custom_1585795802274{padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;background-color: #0cb8b6 !important;border-radius: 4px !important;}”][vc_column_text css=”.vc_custom_1585795742559{padding: 15px !important;}”]Practice social distancing. Stay home except to get medical care. Avoid public areas and public transportation. Make sure to follow the official guidance of your city or state. This includes adhering to potential “stay-at-home” or “shelter-in-place” orders.

Wear a face mask if you are sick. If you are unable to wear a face mask (for example, because it causes trouble breathing), then others who live with you should not stay in the same room or they should wear a face mask.

Check your symptoms if anything changes.

Call ahead before visiting your doctor. This will help them take the necessary steps to keep other people from getting infected or exposed.

Call 911 if you think you are having a medical emergency. Notify the dispatch personnel that you may have been exposed to COVID-19. If possible, put on a face mask before emergency medical services arrive.

How to take care of yourself and others at home

In your home, separate yourself from other people and animals. Use a separate room and bathroom if you can. Have another member of your household care for your animals while you are sick. If you must care for your pet or be around animals, wash your hands before and after you interact with them and wear a face mask.

Cover your coughs and sneezes. Throw used tissues in a lined trash can. Wash your hands immediately with soap and water for at least 20 seconds or an alcohol-based hand sanitizer with at least 60% alcohol.

Clean your hands often by washing with soap and water for at least 20 seconds, especially after blowing your nose, coughing, or sneezing; going to the bathroom; and before eating or preparing food. You can also use an alcohol-based hand sanitizer with at least 60% alcohol.

Avoid touching your eyes, nose, and mouth with unwashed hands.

Avoid sharing personal household items. Do not share dishes, drinking glasses, cups, eating utensils, towels, or bedding with other people or pets. Wash these items thoroughly after use.

Clean all “high-touch” surfaces daily. These include counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets, and bedside tables. Be sure to clean any surfaces that may have blood, stool, or bodily fluids on them. Household cleaners are good for this.[/vc_column_text][/vc_column][vc_column width=”1/6″][/vc_column][/vc_row]