Below is a questionnaire that all prospective residents are required to complete before touring an apartment. Name* First Last Address* HiddenLocation Auto-Generated by URLHiddenDate QuestionsHave you had direct/ close contact with any individuals diagnosed with COVID‐19 in the last (14) days?* Yes No Have you had a positive COVID‐19 test in the past (14) days?* Yes No Are you currently experiencing any COVID‐19 symptoms or have experienced symptoms within the last (14) days as outlined by the CDC?* Yes No Have you traveled outside the US specifically to any areas where a mandatory quarantine is in place when returning to NY?* Yes No NOTE: IF YOU ANSWERED YES TO THE QUESTIONS ABOVE, WE CANNOT ALLOW YOU TO USE OUR COMMUNITIES FITNESS CENTER. PLEASE STAY HOME, AND STAY SAFE.Signature* Δ