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allyce wood
amanda lien
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rileigh shelton
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same-day health screening for employees
Updated 1/3/2022 in accordance with the
most recent CDC guidelines
.
Please complete this screening each day (p
rior to arriving at the MUSEO studio).
*
Indicates required field
Employee Name
*
First
Last
Select One
*
fully vaccinated
fully vaccinated + received booster
LEVEL 1 SYMPTOMS
- Muscle or body aches
- Headache
- Congestion or runny nose
- Cough
1. Have you had any of these LEVEL 1 symptoms within the last 48 hours?
*
Yes
No
If yes, please list ALL the LEVEL 1 symptoms you have that are CONFIRMED TO BE CAUSED BY A CONDITION OTHER THAN COVID-19 (e.g. cough due to seasonal allergies)
*
Your judgment impacts the health of others. Please consider this carefully.
A MUSEO administrator will review this information and contact you if we have reasonable concerns of potential risk to others if you were to be in the studio today.
LEVEL 2 SYMPTOMS
- Fever (body temp of 100.0 or higher)
- Chills
- Shortness of breath or difficulty breathing
- Fatigue
- Recent loss of taste or smell
- Sore throat
- Nausea or vomiting
- Diarrhea
- Stomach ache or pain in the abdomen
2. Have you had any of these LEVEL 2 symptoms within the last 48 hours?
*
Yes
No
Per the CDC and Washington State Department of Health, the presence of any of these LEVEL 1 and LEVEL 2 symptoms WHICH IS NOT CAUSED BY ANOTHER KNOWN CONDITION will exclude you from being in the studio today. Please get a test and stay home.
3. Have you been in close contact with anyone who has COVID-19 in the past 5 days? Close contact is being within 6 feet for 15 minutes or more over a 24-hour period with a person; or having direct contact with fluids from a person with COVID-19 with or without wearing a mask (i.e., being coughed or sneezed on).
*
Yes
No
Possibly
If you answer "yes" or "possibly" and you:
Have been boosted
OR
Completed the primary series of Pfizer or Moderna vaccine
within the last 6 months
OR
Completed the primary series of J&J vaccine
within the last 2 months
DO THIS:
Wear a mask around others for 10 days.
Test on day 5, if possible.
If you develop symptoms get a test and stay home.
If you answer "yes" or "possibly" and you:
Completed the primary series of Pfizer or Moderna vaccine
over 6 months ago and are not boosted
OR
Completed the primary series of J&J
over 2 months ago and are not boosted
DO THIS:
Stay home for 5 days. After that continue to wear a mask around others for 5 additional days.
If you can’t quarantine you must wear a mask for 10 days.
Test on day 5 if possible.
If you develop symptoms get a test and stay home
4. Within the past 5 days, has a public health or medical professional directed you to be monitored, isolated, or quarantined because of concerns about COVID-19 infection?
*
Yes
No
If you answer "yes":
Stay home for 5 days.
If you have no symptoms or your symptoms are resolving after 5 days, you can leave your house.
Continue to wear a mask around others for 5 additional days.
If you have a fever, continue to stay home until your fever resolves.
5. Have you had a positive COVID-19 test for active virus in the past 5 days or are you awaiting results of a COVID-19 test?
*
Yes
No
If you answer "yes":
Stay home for 5 days.
If you have no symptoms or your symptoms are resolving after 5 days, you can leave your house.
Continue to wear a mask around others for 5 additional days.
If you have a fever, continue to stay home until your fever resolves.
Additional Comments
*
By typing my full name into the box below, I certify that my responses are true and accurate. I acknowledge that I play a vital role in the health and well-being of the entire MUSEO Art Academy community.
*
Submit
HOME
A Bit About MUSEO
>
Peek Inside Our Studio
Meet Our Instructors
>
allyce wood
amanda lien
amy hill
gavin cheng
grace taylor
kellie steinbeigle-harmon
mohana raje
monika macdonald
rileigh shelton
Contact Us
CLASSES
WEEKLY CLASSES
>
Important Info | SIGN UP
Free Trial
PRIVATE LESSONS
>
Customized Lessons
Pottery Wheel
Scout Badge Projects
CAMPS
Summer Camps | OVERVIEW
>
Drawing Camp
Painting Camp
Sculpture Camp
Mixed Media Camp
Pottery Camp
School Year Camps
Camp FAQs
parties
student resources
gift cards
MORE
COVID-19 Safety Protocol
policies
buddy family discount
blog
jobs