WSPA COVID-19 Health Screening Form

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Please complete this form at home before entering WSPA

Email *

Full name: *

Do you currently have a fever of 100.4F or above? Have you had a fever of 100.4F or above in the past 24 hours? *

Yes

Have you experienced any symptoms in the last 24 hours that are unrelated to a preexisting condition? Fever, chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, or diarrhea? *

Yes

Have you been in close contact (within 6 feet for at least 15 minutes) with anyone who is currently isolating/quarantining for COVID-19? *

Yes

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