COVID-19 Screening

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* 1. Have (any of) you traveled outside of the Tri-State area in the last 14 days?

Yes

No

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* 2. Have (any of) you had any symptoms of COVID-19 (e.g., fever, cough, shortness of breath, sore throat, muscle aches, tiredness) in the last 14 days?

Yes

No

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* 3. Have (any of) you had a known or suspected (test pending) close contact exposure to a person with COVID-19 in the last 14 days?

Yes

No

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* 4. Do (all of) you feel well today?

Yes

No