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COVID-19 Health Screening Questionnaire

As part of our efforts to keep all employees and attendees safe, we ask that you please complete the following health screening questionnaire prior to entering the Annual Meeting.
1.Contact Information(Required.)
Have you experienced any of the following symptoms of COVID-19 within the last 48 hours?
2.Fever or chills(Required.)
3.Cough(Required.)
4.Shortness of breath or difficulty breathing(Required.)
5.Fatigue(Required.)
6.Muscle or body aches(Required.)
7.Headache(Required.)
8.New loss of taste or smell(Required.)
9.Sore throat(Required.)
10.Congestion or runny nose(Required.)
11.Nausea or vomiting(Required.)
12.Diarrhea(Required.)
13.Have you tested positive for COVID-19 in the last 10 days?(Required.)
14.Are you currently awaiting results from a COVID-19 test?(Required.)
15.Have you been exposed to someone with COVID-19 in the last 14 days?(Required.)
NOTE: If an individual answers “YES” to any question above, when applicable, the individual should not be admitted before receiving a negative COVID-19 test onsite. Individuals with symptoms or who test positive for COVID-19 should be advised to leave and to contact their physician.
16.Please initial here:(Required.)
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