Employee Health Screening
Do you have any of the following symptoms that are new or unusual for you in the past 14 days that are not getting any better? Mark all that apply.
Fever or chills
Dry cough with difficulty breathing
Muscle or body aches
Loss of sense of taste or smell
Have you had any of the symptoms above that are new and unusual for you that you have used medication for to ease the symptoms?
In the past days, have you had contact with someone diagnosed with COVID? (ONLY ANSWER THIS QUESTION IF YOU SELECTED ANY OF THE SYMPTOMS IN QUESTION 1)
Should be Empty: