JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Positive COVID Submission Form
Please use this anonymous form to notify the Pit Crew if you have tested positive or have a known exposure to COVID-19.
Sign in to Google
to save your progress.
Learn more
Have you had an exposure to COVID-19 or received a positive COVID test result?
Yes
No
Clear selection
Are you currently experiencing symptoms of COVID-19?
Yes
No
Clear selection
Approximately when do you think you were initially exposed to COVID-19.
Your answer
If you received a positive test result, what day was the test conducted?
Your answer
Please select the time slot and day that you participate in.
Wed 6:15-7:15
Wed 7:30-8:30
Wed 8:15-9:15
Sun 2:15-3:15
Sun 3:30-4:30
Sun 4:45-5:45
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
