RocPK Forms and Surveys

Please read the following descriptions carefully.

In order to enter our facility you must be able to answer no to all of the following. Are any of the following true for you or any other household member?

In the last 24 hours:

– Loss of taste, smell, or appetite
– Chills or fever higher than 100 degrees F
– Sore throat
– Unusual headache or eye pain
– New cough or change in cough
– Difficulty breathing or shortness of breath
– Abdominal pain, nausea, vomiting, or diarrhea

In the last 10 days:

– Someone has been diagnosed with COVID
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