Wecome to the on-line Questionnaire

Today is, 05.23.20

CDC regulations require each individual to complete the CDC questionnaire before entering the facility.

To change the organization entered please click below to return.

If you are planning a visit, please click below to fill the CDC questionnaire.

CDC Questionnaire is completed

Please note: the questionnaire is only valid until midnight.

This QR code confirms completion of CDC Questionnaire.


Recent Body Temperature

Please measure your temperature with a medical grade thermometer and enter the value here.

CDC Questionnaire

Your QR ID Code

Your QR ID Code is presented below. Scan this at the kiosk to complete the CDC Questionnaire on the kiosk.



If you do not comply with COVID-19 regulations, you cannot enter this facility.