1. Filling the data
2. Payment


Method of sample collection:

(+код страны) номер


Have you traveled abroad for the past 14 days?

Have you had contact with a COVID-19 patient in the past 14 days?

Please mark the relevant symptoms.

If you have other symtoms, what exactly it is?

Have you had pneumonia recently (within 3 months), or have you had it in the past?

Please check if you have any of the following medical conditions

If you have the others, what exactly it is?

Have you been hospitalized within a month?