Eligibility Questionnaire

Please select the symptoms and/or risks that apply to you, so we can determine if you are eligible for the at-home COVID-19 Test Kit, as required by the CDC.

Check all that apply
  • Diabetes (type I or II)
  • Chronic kidney, lung or heart disease
  • High blood pressure for which I take medication
  • History of stroke, heart attack, or other vascular disease
  • Weakened immune system due to medications, steroids, HIV, or transplant
  • Obesity