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Hargrave Military Academy Campus Visitor Survey
Please complete this survey to the best of your abilities.

We encourage all visitors to refer to the advice, guidelines, and travel alerts regarding the COVID-19 virus and the guidelines for prevention and treatment provided by the Centers for Disease Control: https://www.cdc.gov/coronavirus/2019-nCoV/index.html 
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Name *
Place of Residence *
Date of Visit *
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What is the purpose of your visit? *
Have you traveled domestically recently? *
Where and when did you travel domestically?
Have you traveled internationally within the last month? *
Where and when did you travel internationally?
What was your mode of transportation? *
Have you or anyone in your household experienced any flu-like symptoms/fever/cough recently? *
What was the date that these symptoms were experienced?
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/
DD
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Have you been in contact with someone who has or is suspected of having COVID-19? *
Thank You
Thank you for filling out this survey to the  best of your abilities. This survey's results will be used to make sure that our campus and faculty/staff remain healthy during this time.
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