ACE Band Daily Covid 19 Screening
Needs to be completed between 6a-9a on the day of Band.  Any Yes means you cannot attend.
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asdfName *
Email address *
I Have my PPE and instrument *
Do you have one of the following symptoms? *
Yes
No
New loss of taste or smell?
Shortness of breath/difficulty breathing?
Fever of 38C/100.4 or higher?
Chills or repeated shaking with chills?
New cough?
Sore throat?
Vomiting or diarrhea (3 or more loose stools in 24 hours)?
Contact with someone who has been diagnosed with COVID-19 in the last 14 days?
Do you have any of the following secondary symptoms? *
Yes
No
Nausea
Stomach Pain?
Fatique?
Muscle pain?
Headache?
Rash?
Congestion or Runny nose?
Swelling of hands or feet?
Red eyes/eyes draining?
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