Questionnaire Thank you for your interest in our study. In order to determine your eligibility, we invite you to answer a few questions. We will let you know at the end if you qualify. How did you hear about this study?Please select your answerFrom my doctorFrom the websiteFrom an advertisementSomeone told me about itOther Question 1: Are you between the ages of 18 and 75?YesNo Question 2: Have you had up to 48 hours of flu-like symptoms such as nasal discharge, nasal congestion, malaise/tiredness, headache, sinus congestion, sneezing, sore throat, hoarseness, cough, shortness of breath, respiratory wheeze, earache, and/or symptoms of fever?YesNo Question 3: Do you believe you are need of hospitalization or emergency care?YesNo Question 4: Do you have cystic fibrosis, heart disease, or chronic liver disease?YesNo You might qualify for this clinical trial. Please provide the following contact information:Your State:Please select your answerAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming What is your preferred method of contact?Please select your answerEmailPhoneText What is your preferred time of contact?Please select your answerMorningMiddayAfternoonNone Your Name Your Email Your Phone Number Time is Up!