RPAI Work From Home Photo Contest
close
Entry Survey
Name (First & Last)
*
Name (First & Last)
Cell Phone Number
*
Cell Phone Number
Company
*
Company
Who are you here to visit?
Who are you here to visit?
Which center are you visiting (optional)
-
AZ - Avondale - Gateway Pavilions
AZ - Glendale - Peoria Crossing
AZ - Phoenix - Paradise Valley Marketplace
CA - Fullerton - Fullerton Metrocenter
CA - Ontario - Edwards Multiplex
CA - Temecula - Commons at Temecula
FL - Tampa - Walter's Crossing
GA - Acworth - Stilesboro Oaks
GA - Canton - Shoppes of Prominence Point
GA - Covington - Newton Crossroads
GA - Cumming - Green's Corner
GA - Dallas - Shoppes of New Hope
GA - Johns Creek - John's Creek Village
GA - Lawrenceville - Village Shoppes At Simonton
GA - McDonough - Henry Town Center
GA - Newnan - Newnan Crossing
IL - Chicago - Ashland & Roosevelt
IL - Chicago - The Brickyard
IL - Gurnee - Gurnee Town Center
IL - Naperville -Main Street Promenade
IL - Oak Brook - Oak Brook Promenade
IL - Oswego - Gerry Centennial Plaza
IL - Oswego - Oswego Commons
IL - Wilmette - Plaza del Lago
MA - Seekonk - King Philip's Crossing
MA - Worcester - Lincoln Plaza
MD - Annapolis - Gateway Village
MD - Baltimore - Reisterstown Road Plaza
MD - Bel Air - Tollgate Marketplace
MD - Gaithersburg - Downtown Crown
MD - Hagerstown - Shoppes at Hagerstown
MD - Largo - Carillon
MD - Laurel - Centre At Laurel
MD - Severn - Shoppes At Quarterfield
MD - Towson - Circle East
MI - Lansing - Eastwood Towne Center
MO - Town and Country - Manchester Meadows
NC - Concord - Pavilion At King's Grant
NJ - Butler - Lowe's / Bed Bath & Beyond
NJ - Denville - Shoppes at Union Hill (The)
NY - Bay Shore - Gardiner Manor Mall
NY - Bronx - Fordham Place
NY - Coram - Coram Plaza
NY - Middletown - Fairgrounds Plaza
NY - New Hyde Park - New Hyde Park Shopping Center
NY - Pelham Manor - Pelham Manor Shopping Plaza
NY - Westbury - Bed Bath & Beyond Plaza
PA - Pittsburgh - Home Depot Center
TN - Kingsport - East Stone Commons
TN - Memphis - Winchester Commons
TX - Austin - Target South Center
TX - Cedar Hill - Pleasant Run Towne Crossing
TX - Cedar Park - Cedar Park Town Center
TX - Clear Lake Shores - Clear Lake Shores Shopping Center
TX - College Station - Gateway Station
TX - Coppell - Coppell Town Center
TX - Cypress - Cypress Mill Plaza
TX - Dallas - Lincoln Park
TX - Denton - Denton Crossing
TX - Euless - Heritage Towne Crossing
TX - Frisco - Parkway Towne Crossing
TX - Galveston - Galvez Shopping Center
TX - Georgetown - Rivery Towne Crossing
TX - Grapevine - Grapevine Crossing
TX - Houston - New Forest Crossing
TX - Houston - Royal Oaks Village II
TX - Houston - Sawyer Heights Village
TX - Houston - Streets of Yorktown
TX - Humble - Humblewood Shopping Center
TX - Irving - MacArthur Crossing
TX - Lake Worth - Lake Worth Towne Crossing
TX - Mansfield - Mansfield Towne Crossing
TX - McKinney - Stonebridge Plaza
TX - North Richland Hills - Davis Towne Crossing
TX - Plano - The Shops At Legacy
TX - Plano - Shops At Park Place
TX - Richardson - Eastside
TX - Round Rock - Shops At Forest Commons
TX - San Antonio - HQ Shopping Center
TX - San Antonio - Huebner Oaks
TX - San Antonio - La Plaza Del Norte
TX - Southlake - Gateway Plaza
TX - Southlake - Southlake Corners
TX - Southlake - Southlake Town Square
TX - Sugar Land - Colony Square
TX - Waco - Central Texas Marketplace
TX - Watauga - Watauga Pavilion
VA - Ashburn - One Loudoun Downtown
VA - Chantilly - Chantilly Crossing
VA - Falls Church - Merrifield Town Center I & II
VA - Leesburg - Fort Evans Plaza II
VA - Newport News - Jefferson Commons
VA - Vienna - Tysons Corner
WA - Issaquah - Heritage Square
WA - Lakewood - Lakewood Towne Center
WA - Marysville - Plaza At Marysville
WA - Newcastle - Coal Creek Marketplace
WA - Redmond - Avondale Plaza
WA - Renton - North Benson Center
WA - Seattle - Northgate North
WA - Spokane - Northpointe Plaza
WA - Tacoma - Tacoma South
WA - Woodinville - Woodinville Plaza
Which center are you visiting (optional)
Question 1:
Have you experienced any cold or flu-like symptoms in the last 14 days (including, but not limited to fever, cough, sore throat, respiratory illness, difficulty breathing, headache, and/or loss of taste or smell)?
Have you experienced any cold or flu-like symptoms in the last 14 days (including, but not limited to fever, cough, sore throat, respiratory illness, difficulty breathing, headache, and/or loss of taste or smell)?
*
No
Yes - Do not enter the office
Question 2:
In the past 14 days, have you tested positive for COVID-19?
In the past 14 days, have you tested positive for COVID-19?
*
No
Yes - Do not enter the office
Question 3:
In the past 14 days, have you been in close contact with anyone who either tested positive for COVID-19 or developed symptoms of COVID-19?
In the past 14 days, have you been in close contact with anyone who either tested positive for COVID-19 or developed symptoms of COVID-19?
*
No
Yes - Do not enter the office
Question 4:
If you reside in Cook County, IL, within the past 14 days, have you traveled to a state on Cook County's quarantined list per the emergency travel order in place?
If you reside in Cook County, IL, within the past 14 days, have you traveled to a state on Cook County's quarantined list per the emergency travel order in place?
*
N/A - I do not live in Cook County, IL
No
Yes - Do not enter the office
Question 5:
In the past 14 days, have you attended a social gathering or event that consisted of 50 or more individuals?
In the past 14 days, have you attended a social gathering or event that consisted of 50 or more individuals?
*
No
Yes - Do not enter the office
Consent:
Consent
*
I agree that all of my responses are truthful and accurate.