COVID-19 App survey

1.How old are you?(Required.)

Under 24 years

25-34 years

35-44 years

45-54 years

55-64 years

65 years and older

Prefer not to say

2.What is your gender?(Required.)

Female

Male

Prefer not to say

Prefer to self-describe as (please write in)

4.In what country do you live?(Required.)

5.Have you had COVID-19?(Required.)

Yes, confirmed by a test

I think I may have had COVID-19 but it wasn’t confirmed by a test

No

6.Do you have a lung condition?(Required.)

Yes

No

About you