1. Are you a guest?
2. In which country is the facility that you were staying when you began to feel unwell in?
3. Which type of facility is this?
4. What is your age?
Age Group
5. What is your gender?
6. What is your home country?
7. To which countries have you traveled to recently? (within the past 4 weeks)
10. What symptoms did you experience?
11. Are there any additional notes about your symptoms, where you sought care, potential places/sources of exposure, or any other details about your illness that you would like to share?