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Long COVID Assessment

Click the Start Button below to take the free Long COVID Assessment

Which symptoms from the following list do you experience since contracting (or thinking you contracted) COVID-19?

Select Yes or No for each symptom.

Start

Question 1 of 13

1. Fatigue | decreased ability to function

A

YES

B

NO

Question 2 of 13

2. Headache

A

YES

B

NO

Question 3 of 13

3. Cough

A

YES

B

NO

Question 4 of 13

4. Changes to feeling and movement
Eg. numbness, tingling, tremor

A

YES

B

NO

Question 5 of 13

5. You feel much worse after physical, mental or emotional exertion

A

YES

B

NO

Question 6 of 13

6. Difficulty thinking or remembering

A

YES

B

NO

Question 7 of 13

7. Loss of smell and taste

A

YES

B

NO

Question 8 of 13

8. Shortness of breath

A

YES

B

NO

Question 9 of 13

9. Rapid or irregular heart rate

A

YES

B

NO

Question 10 of 13

10. Muscle aches

A

YES

B

NO

Question 11 of 13

11. Sensitivities to light | sound | smell | medications

A

YES

B

NO

Question 12 of 13

12.  Insomnia | unrefreshing sleep

A

YES

B

NO

Question 13 of 13

13. Dizziness | poor balance

A

YES

B

NO

Confirm and Submit