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SOTA Safety
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Class
*
Your answer
Have you had a fever (100.4 or above) in the past 48 hours?
*
Yes
No
Have you experienced a feeling of feverish chills in the past 48 hours?
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Yes
No
Do you have a Cough?
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Yes
No
Do you have a Sore Throat?
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Yes
No
Have you experienced shortness of breath in the past 48 hours?
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Yes
No
Have you experienced sudden loss of taste or smell?
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Yes
No
Have you experienced vomiting or diarrhea in the past 48 hours?
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Yes
No
In the past 14 days, have you traveled to any location for which our State currently requires a 14-day self-quarantine?
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Yes
No
Have you had any close contact with anyone who is currently sick with suspected or confirmed COVID-19? (Close contact is defined as within 6 feet for more than 10 consecutive minutes, without Personal Protective Equipment.)
*
Yes
No
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