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This online questionnaire aims to assess the impact of a COVID-19 infection on your health and well-being in the medium and long term.


It will take you approximately 15 minutes to complete it and your answers will be processed ensuring strict confidentiality. Thank you for completing the questionnaire within 7 days of the call from the contact tracing center.


Click on "Next” to continue.


If you need any additional information or you have problems completing this questionnaire, you can contact us via e-mail.