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COVID Screening Document 2022
Please check if you are experiencing ANY of the following new or worsening signs, symptoms, or contact:
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Measured temperature greater than or equal to 100.4 degree
No
Yes
Clear selection
Cough
No
Yes
Clear selection
Bloodshot eyes
No
Yes
Clear selection
Shortness of breath and/or difficulty breathing
No
Yes
Clear selection
Sore Throat
No
Yes
Clear selection
Loss of taste or smell
No
Yes
Clear selection
Chills
No
Yes
Clear selection
Muscle pain/ neck pain
No
Yes
Clear selection
Diarrhea
No
Yes
Clear selection
Headache
No
Yes
Clear selection
Rash
No
Yes
Clear selection
Known close contact with a person who is lab confirmed to have COVID-19, under investigation for COVID-19 or is ill with a respiratory illness.
No
Yes
Clear selection
By typing your name and your Next Steppers name below, you confirm that all answers above are truthful as of date submitted.
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