BTA Reopening Survey
RequiredRequired Question(s)
Required 1.

Do you qualify under the Medically Vulnerable/High-Risk Groups provided by NYSED? Conditions listed below.

Persons in these groups should consult with their healthcare provider regarding prevention:
·  Individuals age 65 or older;
·  Pregnant individuals;

Individuals with underlying health conditions including, but not limited to:
·       chronic lung disease or moderate to severe asthma
·       serious heart conditions
·       immunocompromised
·       severe obesity (body mass index [BMI] of 30 or higher)
·       diabetes
·       chronic kidney disease undergoing dialysis
·       liver disease
·       sickle cell anemia
·       children who are medically complex, who have neurologic, genetic, metabolic conditions, or who have congenital heart disease are at higher risk for severe illness from COVID-19 than other children
 

Yes
No
Required 2.

If you qualify under the Medically Vulnerable/High-Risk Groups would you apply for an accommodation from Babylon?

Yes
No
Doesn't Apply
Required 3.

Do you work in the ES, GS, or HS buildings?

ES
GS
HS