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DO YOU HAVE THESE SYMPTOMS ?
COVID-19 SURVEY
Name :
Gender:
Male
Female
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District
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Kasarcode
Kannur
Kozhikode
Wayanad
Malappuram
Thrissur
Palakkad
Ernakulam
Idukki
Kottayam
Alappuzha
Pathanamthitta
Kollam
Thiruvananthapuram
Address :
Pincode :
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Cough
Fever
Tiredness
Difficulty in breathing
Sore throat
Aches and pains