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Shor Yoshuv - Daily Covid Questionnaire

DO YOU HAVE A RUNNY NOSE?
DO YOU HAVE A SORE THROAT?
DO YOU HAVE A FEVER OVER 100 DEGREES, OR HAVE YOU EXPERIENCED A FEVER WITHIN THE PAST 14 DAYS?
HAVE YOU EXPERIENCED A RECENT ONSET OF RESPIRATORY PROBLEMS, SUCH AS A COUGH OR DIFFICULTY IN BREATHING WITHIN THE PAST 14 DAYS?
IN THE LAST 14 DAYS, HAVE YOU EXPERIENCED A LOSS OF TASTE AND / OR SMELL?
ARE YOU EXPERIENCING BODY OR MUSCLE ACHES OF ANY KIND, REGARDLESS OF THE PAIN INTENSITY?
WITHIN THE LAST 14 DAYS, HAVE YOU TRAVELED OUTSIDE OF NY STATE OR KENT CT.?
HAVE YOU COME INTO CONTACT WITH A PERSON WITH CONFIRMED COVID-19 INFECTION WITHIN THE PAST 14 DAYS?
HAVE YOU ATTENDED ANY TYPE OF MASS SOCIAL GATHERING (EVEN WITHOUT DANCING) SUCH AS A, CHASUNA, VORT, BAR MITZVAH, KIDDUSH, REGARDLESS IF IT IS INDOORS OR OUTDOORS IN THE PAST 7 DAYS?

Thanks for submitting!

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