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COVID SCREENING

REFRESH YOUR SCREEN BEFORE COMPLETING THE QUESTIONNAIRE, AS IT HAS RECENTLY BEEN UPDATED.

Pikuach nefesh (saving a life) takes precedence over all other commandments in Judaism. 

Please complete the COVID-19 Screening Questionnaire within 24 hours PRIOR TO coming to Barnert Temple's campus.  We ask that you complete a separate questionnaire for each member in your party.

If your responses indicate that you should not come to our campus, please respect the health and safety of others in our community and join us remotely.

Effective Nov. 15, 2021, anyone 16 years or older must have received both doses of Pfizer/Moderna or the single dose of Johnson & Johnson to come to our campus. 

Do you meet this condition?

(If you are 15 years or younger, answer "yes" to this question.)

Your Info

- If completing on behalf of a child, enter their name below.
 

Screening Questions

1. Are you up-to-date on your COVID-19 vaccinations and boosters?
  • Ages 5-11: Have received both doses of Pfizer
     
  • Ages 12-17: Have received both doses of Pfizer
    AND the Pfizer booster (if eligible)*
     
  • Ages 18+: Have received the full series of Pfizer/Moderna/J&J
    AND the Pfizer/Moderna booster (if eligible)*

* Eligible means it has been 5 months since your second dose of Pfizer/Moderna or 2 months since your J&J vaccine.

2. Within the past 14 days, have you experienced any of the symptoms below?
  • Fever (100.4 or higher)
  • Chills
  • Cough
  • Shortness of breath/difficulty breathing
  • Fatigue
  • Muscle/body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion/runny nose (not associated with allergies)
  • Nausea/vomiting
  • Diarrhea
2. Within the past 14 days, have you experienced any of the symptoms below?
  • Fever (100.4 or higher)
  • Chills
  • Cough
  • Shortness of breath/difficulty breathing
  • Fatigue
  • Muscle/body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion/runny nose (not associated with allergies)
  • Nausea/vomiting
  • Diarrhea
2 a. Have you:
  • Received a negative PCR test since the onset of your symptoms?
  • Remained fever free AND symptom free* for 48 hours?
** If you are still experiencing fatigue or loss of taste/smell, answer “Yes” as long as you aren’t experiencing other symptoms and you meet the other criteria listed above.
2 a. Have you:
  • Received a negative PCR test since the onset of your symptoms?
  • Remained fever free AND symptom free* for 48 hours?
** If you are still experiencing fatigue or loss of taste/smell, answer “Yes” as long as you aren’t experiencing other symptoms and you meet the other criteria listed above.

3. Within the past 10 days, have you tested positive for COVID-19, even if asymptomatic?
3. Within the past 10 days, have you tested positive for COVID-19, even if asymptomatic?

4. Within the past 14 days, have you had a close contact* exposure to anyone with or suspected of having COVID-19?

* Close contact is defined as being less than 6 feet away from an infected person for a cumulative total of 15 minutes or more over a 24-hour period.

*Exception for Children in K-12 Classrooms: If both the infected and the exposed child are properly masked AND they were at least 3-6 feet apart, the exposure is not considered close contact.

4. Within the past 14 days, have you had a close contact* exposure to anyone with or suspected of having COVID-19?

* Close contact is defined as being less than 6 feet away from an infected person for a cumulative total of 15 minutes or more over a 24-hour period.

*Exception for Children in K-12 Classrooms: If both the infected and the exposed child are properly masked AND they were at least 3-6 feet apart, the exposure is not considered close contact.

You may come to Barnert's campus under the following conditions:
  • You are not experiencing any COVID-19 signs symptoms.
  • You take a PCR test (not a rapid test) 5-7 days after being exposed and receive a negative result.
  • You wear a mask, even outdoors, for 14 days after your exposure date or until you receive a negative test result.
4 a.  Since your exposure to COVID, have you:

Option 1:
Quarantined for 10 days after your exposure and remained in good health?

OR

Option 2:
Received a negative PCR test 5-7 days after exposure or a negative rapid test on day 7

AND

Quarantined for 7 days after exposure,

AND

Remained in good health?

5. Within the past 14 days, have you traveled domestically, outside of NJ/NY/PA/DE?
Note: domestic travel is considered to be any travel lasting 24 hours or longer to any U.S. states or territories other than New Jersey, New York, Pennsylvania, and Delaware.

5 a.  Since returning to NJ, have you:

Option 1:
Quarantined for 10 days after your arrival and remained in good health?

OR

Option 2:
Received a negative PCR/Rapid test 1-3 days BEFORE your trip and again 3-5 days AFTER your trip

AND

Quarantined for 7 days after your return to NJ?

5. Within the past 14 days, have you traveled internationally/outside of the United States?
6. Within the past 14 days, have you traveled internationally/outside of the United States?
6 a. Since returning from from your trip, have you:

Option 1:
Quarantined for 10 days after your arrival and remained in good health?

OR

Option 2:
Received a negative PCR/Rapid test 1-3 days BEFORE your trip and again 3-5 days AFTER your trip

AND

Quarantined for 7 days after your return to NJ?
 

Important Reminders for Vaccinated Individuals Who Have Traveled Outside the U.S.
  • As long as you are symptom free and remain in good health, you do NOT need to quarantine after arriving in the U.S.
  • You DO need to take a PCR test 3-5 days after returning (unless you have tested positive for COVID-19 in the past 90 days). 
  • You MUST wear a mask, even outside at Barnert, until you receive a negative test result.
  • If you test positive for COVID-19 after returning, you should NOT come to Barnert's campus and must follow the 10-day isolation guidelines defined by the CDC, described below.
    - 10 days of isolation, starting from your positive test result if asymptomatic OR from the onset of symptoms if symptomatic.
    - If symptomatic, you must be fever-free for 24 hours and symptoms must be improving.

Be sure to press the SUBMIT button AFTER seeing this message.


At this time, access to Barnert Temple facilities is
APPROVED
 
DOMESTIC TRAVEL ADVISORY

Those who are up-to-date with their COVID-19 vaccinations and boosters and those who have recovered from COVID-19 in the past 3 months do not need to get tested or self-quarantine after travel. However, the CDC recommends fully vaccinated individuals self-monitor for COVID-19 symptoms.  If you develop any symptoms, you should isolate and get tested.

In addition, Barnert recommends that you be tested 5-7 days after returning to N.J.  Until you receive a negative test result, we also recommend that you wear a mask, even when outside, and monitor your symptoms for 14 days after returning to N.J.

Be sure to press the SUBMIT button AFTER seeing this message.

X
At this time, access to Barnert Temple facilities is
NOT APPROVED

Please do not come to Barnert's building or grounds, and follow
CDC guidelines regarding testing, quarantining/isolating, and monitoring.
 
If you are SYMPTOMATIC:
You may not come to Barnert's campus until 10 days have passed since your symptoms began.  You also must be fever free for 24 hours (without fever-reducing medication) AND your symptoms must be improving.

If you are ASYMPTOMATIC (not experiencing symptoms):
You may not come to Barnert's campus until 10 days have passed since receiving your positive test result AND you have remained in good health.
You may not come to Barnert's campus, until you have EITHER:

Option 1:
Quarantined for 10 days since your date of exposure


OR

Option 2:
Received a negative PCR result 5-7 days AFTER EXPOSURE
AND
Quarantined for 7 days.

 

Sat, April 20 2024 12 Nisan 5784