EMPLOYEE COVID-19 SCREENING QUESTIONNAIRE
The safety of our employees is our overriding priority. As the coronavirus (COVID-19) pandemic continues, we are monitoring the situation closely and following the guidance from the Centers for Disease Control and Prevention and local health authorities. In order to prevent the spread of the coronavirus and reduce the potential risk of exposure to our colleagues, we are asking everyone to complete and submit this questionnaire prior to entering the worksite. Please do not enter the worksite if you answered "Yes" to any of the questions below.
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 your co-workers.