Member and Participant Self Health Screening
This Screening must be done upon arrival at the Y
Name *
Email address *
Is your temperature higher than 100.0 *
Have you had any known contact with a person confirmed or suspected to have COVID-19 in the past 14 days?
Clear selection
Are you currently experiencing ANY of the following symptoms *
Required
Have you tested positive for COVID-19 through a diagnostic test in the past 14 days? *
Submit
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