In the past 24 hours, have you had one of the following symptoms unrelated to a pre-existing medical condition: frequent cough or shortness of breath? *
In the past 24 hours, have you had TWO of the following symptoms unrelated to a pre-existing medical condition: 1) sore throat, 2) chills, 3) headache, 4) muscle pain, 5) new loss of taste or smell? *
In the past 24 hours, have you experienced a fever of 100.4℉ or above? *
Have you been in close physical contact with someone who tested positive for COVID-19 within the past 14 days? *
I acknowledge the terms below: (1) I understand the electronic submission of this form effectively serves as my signature. (2) I certify that I have accurately completed the COVID-19 Building Pre-Screening Form. (3) I understand I may not enter into a Big Picture HS building if I answered YES to ANY of the questions above. *