State of New York COVID-19 Screening Questionnaire

The State of New York may refuse entry to any in-person showing or auction without prejudice or penalty upon any indication that a person who is attending the showing/auction is exhibiting any symptoms of the Coronavirus (COVID-19).

The person answering these questions acknowledges and agrees that: 

  • the information requested is being provided voluntarily
  • the information provided is confidential and is not intended for use outside of determining entry to in-person showing/auction can occur
  • the refusal or failure to answer each question below may result in the refusal of entry to showing/auction
 
The State reserves the absolute right, in its sole discretion, to refuse entry to any person if the answer to questions 1-5 is “Yes”.  That person will not be permitted to attend the in-person showing or auction.

 

Every person must notify one of the State of New York designated contacts listed below if they become symptomatic and/or test positive for COVID-19 within 48 hours of the last in-person showing/auction.
The State represents that it uses and presents these questions uniformly and in the same manner for all in-person interactions, showings, and meetings and in accordance with all Federal, State and Local Fair Housing Laws.

 
Screening Questions

You will be required to answer "yes" or "no" to the following 5 questions prior to any showings/auction:

  1. TEMPERATURE:  Is your temperature greater than or equal to 100.0 degrees Fahrenheit? Note: Temperature will be taken on site with touchless infrared thermometer.
  2. CONTACTS:  Have you had any known close contact with a person confirmed or suspected to have COVID-19 in the past 14 days? Note: Close contact does not include individuals who work in a health care setting wearing appropriate, required personal protective equipment.
  3. SYMPTOMS:  Are you currently experiencing ANY of the following symptoms?
    - Cough (new or worsening)
    - Shortness of Breath (new or worsening)
    - Troubled Breathing (new or worsening)
    - Fever
    - Chills
    - Muscle Pain (new or worsening)
    - Headache (new or worsening)
    - Sore Throat (new or worsening)
    - New Loss of Taste
    - New Loss of Smell
    Note: A few of the above symptoms may occur with pre-existing medical conditions, such as allergies or migraines. You should only answer “Yes” if your symptoms are new or worsening.
  4. POSITIVE TEST RESULTS:  Have you tested positive for COVID-19 through a diagnostic test in the past 14 days?
  5. TRAVEL:  Have you traveled within a state with significant community spread of COVID-19 for longer than 24 hours within the past 14 days? Note: For a list of states currently under New York’s travel advisory requiring a 14-day quarantine upon return, please visit: 
    https://coronavirus.health.ny.gov/covid-19-travel-advisory#restricted-states

 

STATE OF NEW YORK DESIGNATED CONTACT:

Dan Quinlan (518) 486-2886

Tom LaLiberte (518) 402-1705