Please be sure to answer all the questions in Part I as part of the NIPIT Daily Program.
The following Questionnaire contains two parts. Part I is a screening test for current infection while Part II assesses how much your daily habits are putting you at risk for catching COVID-19. Taking Part I of the Questionnaire each day is an essential and mandatory part of the NIPIT Daily Program.
Part I: Suspicion of Current Infection
The following 7 questions assess whether you might currently have COVID-19. If the answer to any of these questions is 'yes,' please click the 'YES' button which will allow you to navigate to instructions about what to do next.
Do you have a sore throat, fever, or a cough that does not produce sputum (phlegm that comes up when you cough)? YES NO
Do you find yourself losing your breath or having difficulty getting enough air into your lungs (such as while walking up stairs)? YES NO
Have you noticed any difficulty with your ability to smell (such as the aroma of coffee or shampoo) recently?YES NO
Have you had difficulty tasting the flavor of some food recently? YES NO
Have you had flu-like symptoms such as stomach upset, diarrhea, fatigue, muscle aches, or unusual headaches recently? YES NO
Have your arms and/or legs felt weak and/or heavy recently? YES NO
Do you live, work closely with, or socialize unmasked with someone who recently was diagnosed with COVID-19? YES NO
Part II: Assessment of Behavioral Risk The following questions assess your risk of being or having been exposed to COVID-19. They are broken down into two sections: A and B. You will be given instructions about what to do next if you answer 'YES' to any of the questions in section A or to three or more questions in section B.
PART II; SECTION A
Do you have any reason to believe that anyone in your household has been exposed to someone with COVID-19 since the last time you took this questionnaire? YES NO
Has anyone in your household developed a fever, cough, sore throat, diarrhea, stomach cramps, body aches, fatigue, difficulty breathing, or loss of smell or taste since the last time you took this questionnaire? YES NO
Have you or anyone in your household been tested on the orders of a healthcare professional for COVID-19 other than as part of a routine surveillance testing program since the last time you took this questionnaire? YES NO
Have you or anyone in your household been in close contact with anyone outside the household who has a fever, cough, sore throat, diarrhea, stomach cramps, body aches, fatigue, difficulty breathing, or loss of smell or taste since the last time you took this questionnaire? YES NO
PART II; SECTION B
Have you visited someone or received treatment in a hospital, nursing home, long-term care, or other health care facility since the last time you took this questionnaire? YES NO
Do you hold a job that requires face-to-face interactions with the public (such as cashier, receptionist, server, dental hygienist, healthcare worker, etc.)? YES NO
Do you wear a 'gaiter', bandana, cloth or fabric mask, or a surgical mask for a face covering, rather than a highly protective mask like an N-95, N-95 alternative, or KN-94? YES NO
Do you wear a highly protective mask such as an N-95, N-95 alternative, or KN-94 lessthan 100% of the time when around people other than non-symptomatic members of your own household? YES NO
Does your face mask fit loosely on your face or do you pull it down below your nose sometimes for comfort when you are in public or around others? YES NO
Have you had a meal or a drink at a restaurant or bar, either indoors or outdoors, since the last time you took this questionnaire? YES NO
Have you exercised in a public-use gym or yoga/exercise studio since the last time you took this questionnaire? YES NO
Have attended any gathering at work or outside of work with persons who are not members of your household such as a party, religious service, wedding, yoga class, dance class, choir practice, band practice, sports team practice, etc., since the last time you took this questionnaire? YES NO
If you answered 'YES' to any of the questions in Section A, then you are living with someone who may have COVID-19. If the time of their exposure was less than three days ago, it is unlikely that they could have passed the infection to you or anyone else yet. However, beginning on day three post-exposure, they will begin to be potentially infectious and should quarantine. Within the household, they should confine themselves to their own bedroom and, if possible, have exclusive use of their own bathroom.
Someone quarantined for suspicion of COVID-19 must spend little or no time in any common room of the house. If they must use a common bathroom, kitchen, or other room, they should keep an N-95, N-95 alternative, or KN-94 quality face mask firmly in place at all times. N-95 alternative masks may be purchasedhere. Be sure to enter: NIPIT for a discount. Anyone suspicious for COVID-19 should either quarantine for 3 weeks from the date of their expected exposure or quarantine for one week, then get tested by PCR (molecular) test. For the test to be accurate, the best day to get tested is 7 days after the suspected exposure date. It is also acceptable to be tested 8, 9, or 6 days after exposure (in that order) for accurate results or any day for up to a week beginning with the day of onset of symptoms. A negative result on a COVID-19 PCR test taken on one of these days means you may end isolation and return to work. A positive test means you should continue isolation for an additional 2 weeks from the date of the test.
If you answered 'YES' to three or more questions in Section B, you are at significantly increased risk for contracting COVID-19. Please obtain an N-95 alternative or KN-94 high-quality face mask if you do not already have one by clicking here and be sure to enter: NIPIT for a discount. Use your mask at all times when around people other than members of your own home. Anywhere there is a crowd of people talking–especially if not everyone is properly masked–should be considered a high-risk environment. Restaurants, bars, gyms, parties, religious services and other congregate environments where people are talking, shouting, or singing without proper masking are the sites of most COVID-19 outbreaks.