COVID Status Please Select Had COVID in past month Had COVID over 1 month ago Never had COVID First Name Last Name Email Phone # Preferred Language Please Select English Spanish Other Please specify: How did you find out about us? Search engine (Google, Bing, etc.) A community organization A health system or local health department A friend or family member Other Please specify: Which organization? Please Select Bright Star Illinois Unidos Chicago Urban League Central Illinois Friends Envision Community Services Peoria Friendship House Teamwork Englewood Tri-County Urban League Other Please specify: Which health system? Please Select Mile Square Health Center UI Hospital and Clinics Peoria City/County Health Department OSF Unity Point Other health system Please specify: We have met our enrollment goal for this group. But you may be eligible for other RECOVER COVID studies in the future. Submit the form if you would like to stay up-to-date on the RECOVER study and Long-COVID enrollment announcements, events, news, and related Long COVID studies — including treatment trials. Thank you for your submission. We'll be in touch.