Quick COVID-19 questionnaire

Step 1 of 2

  • The purpose of this COVID-19 questionnaire is to help you make decisions about seeking appropriate medical care. This questionnaire is intended only for people who are currently located in the United States, and is not intended to replace any treatment or recommendations that your physician or other licensed caregiver may provide. This questionnaire is provided on an anonymous basis. Please review and agree to the terms and conditions to proceed with the questionnaire.


  • * You must be 18 years of age to use this self-assessment tool.
    ** Sniffle’s self-assessment tool is intended for informational purposes only and does not provide medical advice. It is not a substitute for professional medical advice, diagnosis or treatment. Sniffle’s self-assessment tool is not exhaustive and cannot always and should not be relied upon solely. Use of this tool is solely at your own risk.