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WHS XC PARTICIPANT DAILY COVID-19 SCREENING
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電子郵件
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你的電子郵件
LAST NAME
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您的回答
FIRST NAME
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您的回答
Have you been in close contact with a confirmed case of COVID-19?
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Yes
No
Are you experiencing any of the following? (Please click Yes or No)
Fever (Temp over 100.3 in last 48 hours)
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Yes
No
Chills
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Yes
No
Cough
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Yes
No
Shortness of Breath or Difficulty Breathing
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Yes
No
Sore Throat
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Yes
No
New Loss of Taste or Smell
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Yes
No
If you have answered "Yes" to any of these (or if your temperature read above 100.3), STAY HOME AND CONTACT YOUR HEALTH CARE PROVIDER for further guidance.
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