Covid-19 Symptoms Check List- Glow Festival

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Everyone reporting to work or visiting any of Glow's spaces in person (Kroc Center or PU) must fill this out on the day of before reporting to the Glow location.

This is a part of our shared responsibility to each other, as we keep each other safe while returning to work.

THANK YOU for doing your part.

Name *

Is your temperature below 100.4? *

Yes

Have you had any of the following symptoms in the last 24 hours? *

Loss of taste

Loss of smell

New shortness of breath

Headache

Cough

Sore throat

Diarrhea

None of these

Required

In the past two weeks, have you or anyone in your household tested positive or quarantined for Covid-19? *

Yes

In the past two weeks, have you or anyone in your household been in close contact with someone who has tested positive or quarantined for Covid-19? *

Yes

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