Table 2: Screening patient Questionnaire COVID-19.

SCREENING PATIENT QUESTIONNAIRE COVID-19
Sex (Male / Female)
Age (Years)
Living address (City - Country)
Travel in the past 6 months (Yes / No - Where)
Self-perceived health status (Very good, good / Fair / Very bad, bad)
Medical consultation in the past 14 days? (Yes / No)
Presence of fever (>37.5°), cold, cough, respiratory symptoms, muscle pain, headache in the last 14 days (Yes / No)
Have you been in contact with people with these symptoms for the past 14 days? (Yes / No)
Have you been in contact with infected people in the past 14 days? (Yes / No)