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CLI Self-Screening Questions

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COVID-19 SELF-SCREENING QUESTIONNAIRE AND DECLARATION

ALL ATTENDEES MUST read AND answer the self-screening questions below before attending the ALA 2021 Chapter Leadership Institute (“CLI”). I agree that I will not attend CLI if the answer to any of the following questions is YES.

Self-Screening Questions: 

If the answer to any of the following questions is "YES" - YOU CANNOT ATTEND CLI.

  1.   Do you currently have any of the following symptoms?
    • fever or chills
    • cough
    • shortness of breath or difficulty breathing
    • fatigue
    • muscle or body aches
    • headache
    • sore throat
    • new loss of taste or smell
    • congestion or runny nose
    • nausea or vomiting
    • diarrhea
  2.   In the past 14 days have you experienced any of the above symptoms?
  3.   In the past 14 days have you had close contact (less than 6 feet) with anyone who has COVID-19 or any of the above symptoms?

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