COVID19

COVID-19 Introduction, Screening & Prevention

COVID-19 Introduction

COVID-19 Office Visitor / Event Participant Screening Questionnaire

If you would like to fill the form manually and submit while coming to Office/Event, click the icon to the right for printing.

During this challenging time, Outside2Inside’s priority remains the safety of all of us. While ensuring compliance with state & local guidelines, we would like to schedule any visits to the Outside2Inside Office / events keeping in mind both the safety of the visitors and Outside2Inside members. So, your co-operation in this regard is much appreciated.

The safety of our everyone is Outside2Inside organization’s highest priority. As the corona virus (COVID-19) pandemic continues and in order to prevent the spread of the corona virus and reduce the potential risk of exposure to people visiting our Outside2Inside office, we are asking everyone to complete and submit this questionnaire prior to entering Outside2Inside’s Office. Kindly fill this questionnaire before coming to the Office. Please respond to each of the following questions truthfully and to the best of your ability. Your participation is important to help us take precautionary measures to protect you and our others.

O2I Visitor/Event Participant Details
First Name*	Last Name*
Email ID*	Phone Number*
Home Address*
State*	Zipcode*

Reason for Visit
Are you currently volunteering with Outside2Inside? *
If not, have you volunteered with Outside2Inside's in the past? *
What is the purpose of your visit today? Briefly explain.

Are you here to attend an O2I Event? *

QUESTIONNAIRE
1. Do you have any fever? (Any temperature 100.4 F or greater is considered a fever.)*
2. Do you have any of the following Symptoms?* FeverCoughShortness of breath or difficulty breathingChillsRepeated shaking with chillsFatigueMuscle or body achesHeadacheSore throatNew loss of taste or smellVomitingDiarrheaNone of the above
3. Do you have a new or worsening cough today?*
4. Is anyone in your home currently sick or quarantined?*
5. In the past 14 days, have you been in close proximity to anyone who was experiencing any of the above symptoms or has experienced any of the above symptoms since your contact?*
6. In the past 14 days, have you been in close proximity to anyone who has tested positive for COVID-19?*
7. Has anyone in your home been in direct contact with anyone with the COVID-19 virus?*
8. Have you been tested for COVID-19 and are waiting to receive test results?*
9. Have you have tested positive for COVID-19, or are you presumptively positive for COVID-19 based on your health care provider’s assessment or your symptoms?*
10. In the past 14 days, have you been on a commercial flight or traveled outside of the United States?*
11. In the past 14 days, have you been in close proximity to anyone who has been on a commercial flight or traveled outside of the United States?*
12. Is there any reason why you feel you are at higher risk of contracting COVID-19 or experiencing complications from COVID-19 by entering the facility?*
If you answered "Yes" or "Other" to any of the questions above, please provide a brief explanation below. Otherwise type "NA".

Note: The information collected on this form will be used to determine only whether you may be infected with COVID-19. The information on this form will be maintained as confidential. Should you have any questions please contact contact@outside2inside.com

Guidelines to be followed during Office Visit / Event:
At this time, we would like to limit the number of people visiting the Outside2Inside Office to a maximum of 10 or less to practice effective social distancing. Each person should wear a Mask & if possible gloves for both hands. Kindly bring them with you, otherwise you will not be allowed inside the Office. Mask and gloves to be worn at all times during the Outside2Inside Office visit/event. Kindly trash your used mask and gloves in the appropriate marked trash cans meant for them during your visit. Each person should maintain 6 Ft distance from another person at any time during the visit/event.
AGREEMENT AND SIGNATURE
I HEREBY CERTIFY THAT THE RESPONSES PROVIDED ABOVE ARE TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. I AGREE TO FOLLOW ALL GUIDELINES LISTED ABOVE WITHOUT FAIL. I ALSO HAVE READ AND AGREE TO THE DISCLAIMER (HTTPS://OUTSIDE2INSIDE.COM/DISCLAIMER) I agree
Name*	Location*	Date*
Signature*
Please try to put your full legal signature as much as possible within the above box. If you find it difficult to sign in the above box for some reason, make sure to put at least your initials in the above box. Either way, by signing this form electronically, you are agreeing that your electronic signature is the legal equivalent of your manual signature.

* - Required Fields

COVID-19 Resources to Stop the Spread of Germs

Links for O2I Office Visitors / Event Attendees

Event Testimonial & Survey

Some moments of Joy and Appreciation...

"You need to be aware of what others are doing, applaud their efforts, acknowledge their successes, and encourage them in their pursuits. When we all help one another, everybody wins." – Jim Stovall

Video Testimonials

Play

What the youth say?

Thank you Outside2Inside so much for the gift card and all the insightful tips you shared with me during our final presentation! I really enjoyed working on the SUV project and I have learned so much from this experience. I hope that I can continue working with Outside2Inside in the future! I wish them all the best

Keana WerlenFood Waste Researcher

I believe that Outside2Inside is doing important work in addressing food waste and corporate sustainability. They are passionate, detail-oriented problem solvers, and have been a pleasure to work with!

Annie LiuFood Waste Researcher

Through the project with Outside2Inside, I have cultivated many important skills and I enjoyed collaborating with the amazing team at Outside2Inside. Outside2Inside's programs are innovative and powerful. This organization is going to change the way we approach food waste!

Sydney WexlerProject Manager, FEED

I loved my time working at O2I. As someone who is trying to be more environmentally conscious, this was a great way to learn more about sustainability and incorporate what I learned into a program to help businesses be more sustainable too. It's been an extremely empowering and insightful journey, and I've learned and experienced so many new things. I'd definitely recommend O2I to others!

Wynnie ChanFood Waste Researcher, FEED

The members in Outside2Inside are all very passionate individuals and they are constantly challenging us to be more creative in our problem solving methods and approach to different corporations. I’ve learned so much not only through our research on the issue of food waste itself, but also in understanding my role as a student and my impact on the world. For that, I’m very appreciative for this opportunity to work with Outside2inside.

Arianna HeeFood Waste Researcher, FEED

I definitely recommend that others volunteer and work with Outside2Inside as my experience has been eye-opening and I have learned so much from working with Outside2Inside!

Annie LiFood Waste Researcher, FEED

FEED’s collaboration with Outside2Inside was a thoroughly enjoyable and educational experience. The people at the organization are incredibly passionate when it comes to accomplishing their goal of reducing, reusing, and recycling food waste and our team learned a tremendous amount from working with them. Their commitment and drive will surely lead them to great success and wide-reaching impact.

SusieVice President of Publicity & Recruiting FEED

On behalf of FEED, I'd just like to say how much we have appreciated your support throughout these past few semesters. Our consultants have gained great professional experience from working with Outside2Inside and it is great to see the mutual growth from both ends of this partnership.

AliceVice President of Food Justice FEED

Thank you for your support! We are grateful and happy to be working with such an impactful organization like Outside2Inside.

Maddie MikschlProject Manager FEED

I thoroughly enjoyed working with Outside2Inside this past semester (Spring'2019)! Being able to analyze their existing programs and create new ones was a great way for me to become involved in the community.

Emily SuFEED Researcher