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COVID-19 Health Screening
Please complete this screening no later than 8 am on the day of your lesson.
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First Name
*
Your answer
Last Name
*
Your answer
Have you been in close contact with a confirmed case of COVID-19?
*
Yes
No
Have you had a fever or felt feverish in the last 72 hours?
*
Yes
No
Are you experiencing any respiratory symptoms including a runny nose, sore throat, or shortness of breath?
*
Yes
No
Are you experiencing any new muscle aches or chills?
*
Yes
No
Have you experienced any new change in your sense of taste or smell?
*
Yes
No
Temperature
*
Your answer
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