Balance COVID-19 Class Screening Questionnaire
Please complete prior to attending class.
Have you experienced any of these symptoms in the past 10 days (not related to chronic, known conditions or seasonal allergies):
Fever, or feeling feverish (e.g., chills, sweating)
New cough or change in chronic cough
Shortness of breath or difficulty breathing
New loss of taste or smell
None of these symptoms
Have you traveled outside of New York State in the past 14 days? *Please note, if you have traveled to any state on the NYS travel advisory list, please wait the required 14 days before returning to class for your safety and ours.
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