COVID-19 Initial Survey

Please answer the questions below to help determine whether you are eligible to continue.

This program is intended to expand access to COVID-19 risk screening and testing.

Important note: This program is not intended for people experiencing severe symptoms such as severe cough, severe shortness of breath, severe fever, or other concerning symptoms who may need more acute medical care.

Are you currently experiencing severe symptoms, such as severe cough, severe shortness of breath, severe fever, or other concerning symptoms?

Are you over 18 years old?

Are you near one of these cities?

  • San Jose (Santa Clara county)
  • San Mateo (San Mateo county)
  • Lake Elsinore (Riverside county)
  • Sacramento (Sacramento county)