Symptom Self-Check Form

How are you feeling today?

Before entering our building, we ask that you complete the at-home symptom self-check form below.

Your responses will not be saved or shared in any way, and will only be used to generate a recommendation for whether you should come in. Keep in mind that District Hall is not a medical or health authority; for any questions or concerns related to your health or symptoms you may be experiencing, we encourage you to contact a healthcare professional.