COVID-19 Questionnaire

Maladiecoronavirus.fr has issued a simple questionnaire to evaluate your current risk and if you need to consult medical attention. We have translated the questions below accordingly below (to access the questionnaire, click on the link at the start of this paragraph).





Introduction


The application is provided free of charge, for informational purposes only, to help streamline emergency management of people during the Coronavirus COVID-19 epidemic. The completeness, accuracy, up-to-date nature of the information and content made available in this application, or their suitability for specific purposes, are not guaranteed.


The user acknowledges that the application, including the test and the other information it contains, does not in any way constitute an opinion, recommendation, examination, diagnosis, prescription, or any other act of a medical nature, in particular, established or done by a doctor or pharmacist. The use of the application and its content does not replace the necessary advice given by your doctor or pharmacist or any other competent healthcare professional in each particular case. Any examination or decision by the user must be carried out or taken autonomously on the basis of the relevant scientific and clinical information, the official notice of the product concerned if necessary and in case of doubt, by consulting a competent doctor.


The information made available within the framework of the application serves only as first-level information. The absence of a warning about risk does not mean that it does not exist.


Start the Test


Q1. Do you think you have or have had a fever in the past few days (chills, sweating)?

Yes (continue to Q2) No (Continue to Q3)


Nonsteroidal anti-inflammatory drugs

Taking anti-inflammatory drugs (ibuprofen, cortisone ...) could be a factor in worsening the infection. If you have a fever, take paracetamol. This remark applies to treatments with capsules or tablets and does not concern inhaled forms. If you are already on treatment, do not stop this treatment, ask the advice of your doctor or pharmacist.


Save & Continue


Q2. (only if you answered yes to the above question, otherwise, skip to Q3. below) What is your body temperature?

(answer in Degrees Celcius)

Save & Continue


Q3.In the past few days, do you have a cough or an increase in your usual cough?

Yes

No

Save & Continue


Q4. In recent days, have you noticed a sharp decrease or loss in your taste or smell?

Yes

No

Save & Continue


Q5. Do you have a sore throat these past few days?

Yes

No

Save & Continue


Q6. In the past 24 hours, have you had diarrhea? With at least 3 loose stools.

Yes

No

Save & Continue


Q.7 In recent days, have you been unusually tired?

Yes (go on to Q8)

No (go to Q9)

Save & Continue


Q8. (only if you answered yes in the previous question, if not, move on to Q9) Does this fatigue force you to rest for more than half the day?

Yes

No

Save & Continue


Q9.Have you been unable to eat or drink FOR 24 HOURS OR MORE?

Yes

No

Save & Continue


Q10. In the past 24 hours, have you noticed UNUSUAL shortness of breath when speaking or making a small effort?

Yes

No

Save & Continue


Q11. What is your age? This is to calculate a specific risk factor.

__ years

Save & Continue


Q12. What is your height? This is to calculate the body mass index which is a factor influencing the risk of complications of the infection.

__cm

Save & Continue


Q13. What is your weight? This is to calculate the body mass index which is a factor influencing the risk of complications of the infection.

__kgs

Save & Continue


Q14. Do you have high blood pressure? Or do you have heart or vascular disease? Or are you taking heart treatments?

Yes

No

I don’t know

Save & Continue


Q15. Are you diabetic?

Yes

No

Save & Continue


Q16. Do you have or have you had cancer?

Yes

No

Save & Continue


Q17. Do you have a respiratory disease? Or are you followed by a pulmonologist?

Yes

No

Save & Continue


Q18. Do you have chronic kidney disease or are on dialysis?

Yes

No

Save & Continue


Q19. Do you have chronic liver disease?

Yes

No

Save & Continue


Q20. Are you pregnant?

Yes

No

Not Applicable

Save & Continue


Q21. Do you have a disease known to lower your immune system?

Yes

No

I don’t know

Save & Continue


Q22. Are you taking immunosuppressive therapy? It is a treatment that lowers your defenses against infection. Here are some examples: corticosteroids, methotrexate, ciclosporin, tacrolimus, azathioprine, cyclophosphamide (non-exhaustive list).

Yes

No

I don’t know

Save & Continue


Q.23. What is your postal code ? This information allows us to carry out epidemiological monitoring

______ your postal code

𐄂 I’m not in France or I do not wish to respond

Save & Continue


Results

The displayed recommendation may change according to information from health authorities and researchers. It does not constitute medical advice. If in doubt, ask your doctor or pharmacist for advice.


Everyone’s results are different from here, depending on what you answer - if you need help with the translation, please reach out to the group by copying and pasting your results in the comments of this post.


93 views
  • White Facebook Icon
Subscribe for More Info for English-Speakers