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Name and age of EACH PERSON ENTERING STUDIO (not just being photographed)

In the past 48 hours, have you had fever or chills (Please type yes or no)

In the past 48 hours, have you had a cough (Please type yes or no)

In the past 48 hours, have you had shortness of breath or difficulty breathing (Please type yes or no)

In the past 48 hours, have you had fatigue (Please type yes or no)

In the past 48 hours, have you had muscle or body aches (Please type yes or no)

In the past 48 hours, have you had headache (Please type yes or no)

In the past 48 hours, have you had new loss of taste or smell (Please type yes or no)

In the past 48 hours, have you had sore throat (Please type yes or no)

In the past 48 hours, have you had congestion or runny nose (Please type yes or no)

In the past 48 hours, have you had nausea or vomiting (Please type yes or no)

In the past 48 hours, have you had diarrhea (Please type yes or no)