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Pre-Event COVID-19 Symptom Questionnaire

Please complete this symptom survey before joining the Beyond Borders conference. Please contact Marci Whitman with any questions about our COVID-19 protocols (conference@sixbeyondborders.org or 303-521-0201). Note: All questions are required.

"*" indicates required fields

Name*
Have you had a positive COVID-19 test for active virus in the past 10 days?*
Are you experiencing any of these as new or worsening symptoms? (check all that apply)*
Within the past 10 days, has a public health or medical professional told you to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19 infection?*
Within the past 10 days, have you knowingly been exposed to someone who tested positive for COVID-19?*