CPR By Jeremy COVID-19 Health Survey
This Form Is REQUIRED To Be Completed By Each Student Within 24-hrs Prior To Class Time
Student Name *
Class Date *
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Class Time *
Time
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Course Location *
You are being asked to answer this questionnaire in order to determine whether you are experiencing any symptoms that could be consistent with COVID-19. This is being done solely for the purpose of protecting your workplace/classroom from potential spread of the disease. Any results you get, and/or any directive you receive to stay home, does not constitute a diagnosis of COVID-19, nor are we advising you whether you need to get tested or contact a physician. By clicking Accept you're stating that you understand that you are going to take the CPR By Jeremy Symptom Check survey that we will rely on to permit safe entry into our classroom for the safety of both our instructors and students. You certify that you will answer each question truthfully, and to the best of your ability. *
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