COVID -19 Screening Question
If you answer YES to any of these questions you may not attend your class in person at PDA today.
Please contact us to let us know if you will be participating on Zoom.
Dancer's Name: *
(Questions 1-5) If you answer yes to any of these questions your dancer requires a Negative Covid Test, or to Self Isolate for 14 days, or a non-Covid diagnosis from their health care provider to return to dance)
1. Have you travelled outside the Country in the last 14 days? *
2. Have you tested positive for COVID-19 or been in close contact with anyone who has tested positive COVID-19? *
3. Has your child been directed by a health care provider including public health official to self isolate? *
4. Does your child have Fever/Chills, Cough, Shortness of Breath, or Decrease/Loss of Smell or Taste. *
5. Does you child have (2 or More) of the following symptoms not related to other known causes: Stuffy or Runny Nose, Headache, Sore Throat, Nausea, Vomiting and/or Diarrhea, Fatigue/Lethargy/Muscle Aches/Malaise *
(Question 6-7) If you answer yes to any of these questions your dancer should stay home for 24 hours and self monitor. They may return to dance when symptoms have improved for themselves or their social circle members.
6. Does you child have (1) of the following symptoms not related to other known causes: Stuffy or Runny Nose, Headache, Sore Throat, Nausea, Vomiting and/or Diarrhea, Fatigue/Lethargy/Muscle Aches/Malaise
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7. Has anyone in your household or social circle become ill in the last 24 hours ? *
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