With all the concerns about the Corona Virus I’ve
developed the following short questionnaire to keep us safe during this
difficult time.
Health Questionnaire
Have you been out of the United States in the last 90
days? Y___ N___
Have you been
to Mainland China in the
last 180
days? Y___
N___
Have you been to an airport in the last 90 days? Y___ N___
Have you been in a room with more than ten people
In the last
60 days? Y___
N___
Have you been inside the Loop? Y___ N___
Have ever seen the movie “Mulan”? Y___
N___
Have you eaten Moo Shu Pork, Moo Goo Gai Pan,
Won Ton Soup, any Lo Mein, General Tsao’s Chicken or
an egg roll in the last 90 days? Y___
N___
Do you drink Corona beer? Y___ N___
If any answer is yes please refrain from greeting me
or acknowledging my presence. If you must interact then a surgical mask is the
minimum requirement. Certainly no direct physical contact is allowed.
Thank you for respecting my concerns.