M-Th: 7:30 - 6:30; F: 7:30 - 5:00; S: 8:00 - 1:00


Covid-19 Self Assessment

Name: First & Last

In the last 24 hours, have you had any of the following symptoms:
- Shortness of breath
- Fever
- Cough
- Sore throat
- Body aches

In the last 14 days, have you or anyone you are close with traveled to a known Covid-19 hot spot?

In the last 14 days, have you had any contact with anyone who is exhibiting the symptoms listed above or is suspected of having Covid-19?