Covid-19 Daily Health Checklist
Sunnking Inc.
Name
*
First Name
Last Name
Have you experienced any symptoms of COVID-19 or received a positive COVID-19 test in the past 14 days? Symptoms include: fever, shortness of breath, cough, chills, shaking, muscle pain, headache, sore throat, new loss of taste or smell.
*
Yes
No
Are you ill or caring for someone who is ill?
*
Yes
No
In the past two weeks, did you have contact with someone diagnosed with COVID-19 or live in or visit a place where COVID-19 is spreading?
*
Yes
No
By entering my initials below, I certify the answers in the above questions. At any time, if I start showing these symptoms, I will inform my employer immediately.
INITIAL HERE
*
Submit
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