Hungry Turkey Health Questionnaire

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Email *

First Name *

Last Name *

Have you been Diagnosed with COVID-19? *

Yes

Have you had close contact with or cared for someone diagnosed with COVID-19 within the last 14 days? *

Yes

Is someone in your household awaiting test results for a COVID test due to an exposure or having one or more COVID symptoms? *

Yes

Have you experienced any cold or flu-like symptoms in the last 14 days (fever, cough, shortness ofbreath or other respiratory problem)? *

Yes

Do you have a temperature in excess of 100.4 Fahrenheit?

Yes

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I understand that if I answered YES to any of the questions above I am to stay home and not attend the event. *

Yes, I understant

Required

By signing my name below, I further agree to abide by the Center for Disease Control’s (CDC) recommendations for the prevention of the spread of the 2019 Novel Coronavirus Disease (COVID-19) and other communicable diseases. I assume all such risks being known, appreciated, and accepted by me. *

Send me a copy of my responses.

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