None
Do you have any COVID-19 symptoms?
no
How old are you?
5-60 years old
Are you a guest?
yes
Are you here for an appointment?
yes or no
Do you have a question?
yes
Have you been in contact with anyone with covid-19?
no
Do you have a pet? If you do you can bring it in.
yes or no
Have you been quarantined after you have gone to an area in these past 5 weeks?
yes
Do you need a form to sign to enter?
yes or no
If under 16 do you have a person older than 20 with you?
yes or no
Are you sick?
no
Have you lost any taste yet?
yes or no
Do you take medication?
yes or no
what is your medication?
anything will do
*Please tell Irene what it is.
Thank you!:)
Do you have any allergies?
no or yes
What are you allergic to?
Anything will do
what are you here for?
anything will do
Are you a girl or boy?
Girl or Boy
Have you come here before?
Yes or No
Are you a friend of Irene Zhu?
Yes or No