Gallery 400 COVID Healthcheck

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Following recent updates to University of Illinois at Chicago’s guidance, in light of the increased transmission of COVID-19, proof of vaccination and photo IDs will be required for all guests to enter the gallery. Physical vaccination card, photo of vaccination card or record, or UIC Daily Pass are acceptable proofs of vaccination status.

Following this guidance keeps guests and staff safe so that everyone can have an enjoyable visit to Gallery 400. Please contact the gallery with any questions or concerns.

- Guests are required to wear a mask at all times during their visit. As per University of Illinois at Chicago guidelines, scarves, bandanas, and gaiters are not to be worn in the gallery as a mask.

- Any visitor without a mask will be provided one by Gallery 400 staff upon entry. If a guest must be reminded more than once to wear their mask while on-site, the guest will be asked to leave the gallery.

- A minimum of 6 ft. of distance between parties must be kept at all times throughout their visit to the gallery.
These rules are in place in order for our visitors to enjoy and explore the gallery in a safe and welcoming environment. We look forward to your visit!

Email *

Name *

Date of Visit (UIC-only hours: Tuesday & Wednesday, 10am-5pm. Public hours: Thursday & Friday, 10am-5pm, Saturday, 12-5pm).

YYYY

Have you had one or more of these symptoms in the last 7 days? (Select all that apply or none of the above). *

0 points

Fever

Cough

Sore throat

Congestion or a runny nose

Difficulty breathing or a shortness of breath

Muscle aches

New or unusual headache (e.g., not related to caffeine, diet, or hunger, not related to a history of migraines, clusters, or tension, not typical to you)

Unusual fatigue (e.g. cannot be explained by lifestyle or other recent activities)

Loss of taste or loss of smell?

Chills or rigors (a sudden feeling of cold with shivering accompanied by a rise in temperature)

None of the above

Required

Has anyone in your household tested positive for COVID-19 in the past 14 days? (Do not answer ‘yes’ if you were diagnosed with COVID-19 in the past 14 days but have already received approval from UIC contact tracing to return-to-participation after completing isolation.) *

0 points

Is anyone in your household displaying any symptoms of COVID-19? *

0 points

Yes

To the best of your knowledge, have you or anyone in your household come into close contact with anyone who has tested positive for COVID-19? (Close contacts include household contacts, intimate contacts (hugging, kissing, etc.), or contacts within 6-ft. for 15 minutes or longer (10 minutes or longer for ambulatory care services) unless wearing N95 mask during period of contact.) *

0 points

Yes

Have you been instructed to quarantine by UIC contact tracing, your local health department, or your personal healthcare provider? *

0 points

Yes

Have you been vaccinated? (All gallery guests MUST bring proof of vaccination) *

0 points

Yes

0 points

Yes

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