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Eligibility
Enter your name
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Email address
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Phone number
+1
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Date of birth
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This study is being conducted in select cities.
In which city do you live?
Long Beach
Miami
Pearland
Orange County
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Are you experiencing two or more of the following symptoms of a COVID-19 infection?
Symptoms:
Fever
Cough
Sore throat
Malaise
Headache
Muscle pain
Gastrointestinal symptoms
Shortness of breath with exertion
Yes
No
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Have you tested positive for COVID-19 within the last 4 days?
Yes
No
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Would you consider yourself at a higher risk for serious outcomes if you contract COVID-19?
High Risk examples include:
Diabetes
Obesity
Yes
No
Not Sure
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Have you participated in any investigational drug studies in the last 14 days?
Yes
No
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