Daily Self Assessment

This questionnaire is designed in coordination with Ministry of Health and Prevention to help you assess your health condition and ensure you and your loved ones can stay healthy, as well as to give you prompt advices in case of need. We invite you to fill out the questionnaire every day. We thank you for your participation

SMS containing OTP has been sent to your mobile
*Please complete mandatory questions to proceed.
Q.1
Age *
Numbers only
Q.2
Gender *
Q.3
Country *
Q.4
City/Emirate *
Q.5
Have you been diagnosed with any of the following conditionS? *
Q.6
Do you smoke? *
Q.7
Are you in isolation? *
Q.8
Have you been tested for coronavirus? *
Q.9
What is your current body temperature in Celsius?
Numbers only
Q.10
What's your phone number?
Numbers only
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