COVID-19 Health Screening
Please complete this screening no later than 8 am on the day of your lesson.
First Name *
Last Name *
Have you been in close contact with a confirmed case of COVID-19? *
Have you had a fever or felt feverish in the last 72 hours? *
Are you experiencing any respiratory symptoms including a runny nose, sore throat, or shortness of breath? *
Are you experiencing any new muscle aches or chills? *
Have you experienced any new change in your sense of taste or smell? *
Temperature *
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