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COVID-19 Phone and Self Report Survey Downloads

The PDF and Rich Text (Word doc compatible) documents include the core survey questions, which should be customized for local administration.

The CSV file contains the REDCap data dictionary, containing all core questions and skip logic. It should also be customized for local administration.

Ancillary questions are not part of the core questionnaire but can be used for additional data capture.

If using the questionnaire, please include the citation on the previous page.

If you have any questions about the survey, please contact John Connolly.