NYRA Wellness Check
You will need to fill out this form each time that you come to the property. If you cannot answer True to all of the below questions, you should not come to NYRA.
Email address *
Name (First and Last) *
I have none of the below signs or symptoms related to COVID-19Symptoms include: a fever or a measured temperature above 100.3 degrees, cough, sore throat, shortness of breath, stuffy nose, chills, headache/body ache, pink eye, loss of smell/taste, cold fingers or toes, hypersensitive skin, nausea/vomiting, or diarrhea. *
Required
I have not had "close contact" with an individual diagnosed with COVID-19 within the past 14 days.“Close contact” means living in the same household as a person who has tested positive for COVID-19, caring for a person who has tested positive for COVID-19, being within 6 feet of a person who has tested positive for COVID-19 for about 15 minutes, or coming in direct contact with secretions (e.g., sharing utensils, being coughed on) from a person who has tested positive for COVID-19, while that person was symptomatic. *
Required
I have not been asked to self-isolate or quarantine by a doctor or a local public health official. *
Required
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