COVID checklist for Sandy Springs 2020
Must be filled out prior to attending
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First Name *
Last Initial *
Patrol *
Answer the following truthfully: *
Yes
No
I have a cough
I have a fever currently, or I have had one within the past 3 weeks
I have come in contact with any confirmed COVID-19 positive patients in the last 14 days
I am experiencing shortness of breath or difficulty breathing
I am experiencing flu-like symptoms, such as GI upset, headache, or fatigue
I have experienced recent loss of taste or smell
I am over the age of 60
I have heart, lung, or kidney disease, diabetes, or any auto-immune disorders
I have traveled in the past 14 days to any regions currently experiencing a COVID-19 outbreak
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