Have you had a fever, cough, shortness of breath, sore throat, any new loss of smell or taste, muscle pain, or flu-like symptoms in the past 14 days?

Have you been near or had physical contact with anyone who has had these symptoms or has been diagnosed with COVID-19 in the past 14 days?

Have you traveled outside of Texas in the last 14 days?

Have you been in contact with anyone who has traveled to Texas from somewhere else?