Send
Section 1 of 1
COVID Testing Transparency Reporting Form
Greetings, 

At SPARK Reproductive Justice NOW! (JusticeNOW2024), we are deeply committed to the health and safety of our community. We have taken necessary precautions to mitigate the risks of COVID-19 throughout the event, including enhanced safety protocols and guidelines.

To ensure we continue protecting each other, we kindly ask all attendees to report their COVID test results as part of our ongoing monitoring efforts. Whether you tested positive or negative, your report helps us maintain transparency and care for our shared community health.

Thank you for your cooperation and commitment to collective well-being.

Thank you for your transparency about testing positive for COVID. By completing this form it will assist us in minimizing further transmission. By informing us of your positive test results, you are displaying a great commitment to keeping the community safe and providing us with the information we need to take additional  safety precautions. 
Email
This form is collecting emails.Change settings
Name 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Pronouns
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Question Type
Loading image…
Option 1
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Phone Number 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Were you wearing a mask while traveling to the Conference?
Question Type
Loading image…
Yes
No
Some of the time
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Were you wearing a mask at the Conference?
Question Type
Loading image…
Yes
No
Some of the time
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
What is the date you took the COVID test that came back positive? 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Briefly describe the details regarding the positive test 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Briefly explain the interactions you had while at the Conference? (attended "abc" workshop, ate lunch inside, attend sessions in the main ballroom, etc). Please be as specific as possible. 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Briefly explain the interactions you had while at the Conference? (attended "abc" workshop, ate lunch inside, attend sessions in the main ballroom, etc). Please be as specific as possible. 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Is there any other information that is pertinent to this situation? If so please briefly describe below: 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Link to Sheets
Message for respondents
This form is no longer accepting responses
Insights
Total points distribution
Loading...
Loading responses…
Name 
Copy chart
No responses yet for this question.
Pronouns
Copy chart
No responses yet for this question.
Copy chart
No responses yet for this question.
Phone Number 
Copy chart
No responses yet for this question.
Were you wearing a mask while traveling to the Conference?
Copy chart
No responses yet for this question.
Were you wearing a mask at the Conference?
Copy chart
No responses yet for this question.
What is the date you took the COVID test that came back positive? 
No responses yet for this question.
Briefly describe the details regarding the positive test 
No responses yet for this question.
Briefly explain the interactions you had while at the Conference? (attended "abc" workshop, ate lunch inside, attend sessions in the main ballroom, etc). Please be as specific as possible. 
No responses yet for this question.
Briefly explain the interactions you had while at the Conference? (attended "abc" workshop, ate lunch inside, attend sessions in the main ballroom, etc). Please be as specific as possible. 
No responses yet for this question.
Is there any other information that is pertinent to this situation? If so please briefly describe below: 
No responses yet for this question.
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions
.