1) Have you knowingly been in close or proximate contact in the past 14 days with anyone who has tested positive through diagnostic test for COVID-19 or who has had symptoms of COVID-19?

2) Have you tested positive through a diagnostic test for COVID-19 in the past 14 days?

3) In the last 14 days, have you experienced any symptoms of COVID-19, including a temperature of greater than 100.0°F in the past 14 days?

4) Have you traveled internationally or from a state with widespread community transmission of COVID-19 per the New York State Travel Advisory in the past 14 days?