Patient eligibility survey

To see if you meet the initial criteria for inclusion in the trial, you first need to answer the following questions.

Have you had a high temperature? This means that you feel hot to touch on your chest or back (you do not necessarily have to have measured your temperature).

Have you had a new, continuous cough? This means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual).

Have you had loss or change to your sense of smell or taste? This means you've noticed you cannot smell or taste anything, or things smell or taste different to normal.

If you have experienced any of the symptoms above, have these symptoms started in the last 7 days?

When did you first notice these symptoms?

Format: dd/mm/yyyy

Are you 65 years of age or older?

Are you between 50 and 64 years of age with one of the listed medical conditions?

Do you have access to a computer, smart phone or tablet and are you familiar with how to make video calls using Zoom, Microsoft Teams or Skype?

Have you tested positive for coronavirus in the last 7 days, or are you awaiting the result of a coronavirus test?

Do you live in England, Wales or Scotland?