Symptom Checker - (SSSIO-Region 4 Retreat 2022)
Loving Sairam!
We are looking forward to an in-person retreat after two extraordinary years of the pandemic. In order that we may continue to feel safe and provide a worry-free environment for the meeting, we kindly request all attendees to follow the recommended COVID protocols. No one should attend if they have symptoms to suggest a new cold or have flu like symptoms.  

Please FILL THIS QUESTIONNAIRE (a) prior to the meeting (morning of Saturday May 28), AND, (b) prior to the meeting (morning of Sunday May 29). No further questionnaire will be required if each person remains in good health.

Sairam,
Medical Team R4 2022

For any medical assistance, please contact Sonal Doshi RN (Cell: 314-566-6042)
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Full Name *
Check-in *
Do you have a fever over 100.4 degrees Fahrenheit, or are you feeling feverish? *
Do you have new shortness of breath? *
Do you have a new cough? *
Do you have any symptoms of a new cold or flu? *
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