2023 Post-Convention COVID Reporting Form
Please take a COVID test ASAP and fill out this form to notify us of your status. If you test again and your status changes, please submit this form again.
DSA Membership Email
Did you attend 2023 DSA or YDSA Convention?
Which of these describes you?
DSA and/or YDSA Chapter
If you're an At-Large member, type At-Large. If not applicable, type N/A.
Since attending the DSA and/or YDSA Convention, have you experienced any cold or flu-like symptoms (to include fever, cough, shortness of breath or difficulty breathing, sore throat, pressure in the chest, extreme fatigue, earache, persistent headache, diarrhea, vomiting, muscle pain, chills, repeated shaking with chills, and persistent loss of smell or taste)? If you answer yes, we suggest that you get tested immediately.
Have you taken a COVID test since returning from Convention?
No, but I will test ASAP
No, and I don't plan to test
If you tested, what is your result?
Positive COVID Result
Negative COVID Result
Is there anything else we need to know?
Should be Empty: