If you haven't yet tested positive, please wait to fill out this form until/unless you do; we can only act on confirmed cases.
What is the date you first became symptomatic? *
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What is the date of your (first) positive test? *
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DD
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YYYY
If you had roommates, please list them here so that we can contact them:
Your answer
Which of these Thursday events did you attend? *
Required
Which of these Friday events did you attend? *
Required
Which of these Saturday events did you attend? *
Required
Which of these Sunday events did you attend? *
Required
If you spent time in the con suite, Lockheed, or other con spaces, please provide dates/times here:
Your answer
If you had people over in your hotel room, please provide your hotel room number and which dates/times you had guests over:
Your answer
If you were in other people's hotel rooms, please provide as much as you remember about those instances (room numbers and dates/times):
Your answer
If there is any additional information you would like to provide about possible exposure times (such as group meals, the hotel shuttle, etc.) please do so here: