To prevent the spread of COVID-19 and reduce the potential risk of exposure to our workforce and visitors, we are conducting a simple screening questionnaire. Your participation is important to help us take precautionary measures to protect you and everyone in this building. Thank you for your time.

  Health Screening Questionnaire Form

  • Cough (either new, or different than your usual cough),shortness of breath, or difficulty breathing?
  • Fever (either subjective, or measured) or chills?
  • Sore throat, unusual muscle pain, or unusual headache?
  • New loss of taste or smell?
  • Nausea, vomiting, diarrhea, or any other flu-like symptoms?
The Courthouse does not retain any data from this form other than to count the number of vaccinated versus unvaccinated people that enter the building each day.