Sacred Space Astoria Health Questionnaire
For use during COVID-19 pandemic. Questions are within the current NYS guidelines dated 21Aug20.
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Have you experienced a fever of 100.4 degrees Fahrenheit or greater, a new cough, new loss of taste or smell, or shortness of breath within the past 10 days?
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In the past 14 days, have you tested positive for COVID-19 using a test that tested saliva or used a nose or throat swab (not a blood test)? (14 days measured from the date you were tested, not the date you received the test result.)
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To the best of your knowledge, in the past 14 days, have you been in close contact (within 6 feet for at least 10 minutes) with anyone while they had COVID?
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In the past 14 days, have you traveled internationally or returned from a state identified by New York State as having widespread community transmission of COVID-19 (other than just passing through the restricted state for less than 24 hours)?Visit https://coronavirus.health.ny.gov/covid-19-travel-advisory for applicable states
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If you have answered yes to any of these questions, you will not be able to be on-site for work today. Please contact Kim directly at 734-377-5620 to notify her of your needs and if you have any questions. Thank you!
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