SAMPLE
COVID19 Screening
This screening is mandated by the state of NY.
It is pass/fail, you must clear this screening to attend or teach a class in person.
Do you feel ill or are you experiencing any COVID-19 symptoms TODAY?

Have you experienced any COVID-19 symptoms in the past 14 days?

Have you tested positive on a COVID-19 diagnostic test in the past 14 days?

Have you close had contact with a confirmed or suspected COVID-19 case in past 14 days?

Have you traveled within a state with significant community spread of COVID-19 for longer than 24 hours within the past 14 days?
As of October 3rd, the following states have significant community spread: Alabama, Alaska, Arkansas, Colorado, Delaware, Florida, Georgia, Guam, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, North Carolina, North Dakota, Oklahoma, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, West Virginia, Wisconsin, Wyoming

Have you recently been tested and are currently awaiting results?

A Live Screening Will Be Available At Checkin