Daily COVID-19 Health Screening Questionnaire

Daily COVID-19 Health Screening Questionnaire
Please read each question carefully and select the answer that applies. No health information or questionnaire answers will be shared with anyone outside the company.
Have you experienced any of the following symptoms of COVID-19 within the last 48 hours?
Daily monitoring for potential COVID-19 symptoms is important to track you current health status. If you experience new symptoms, consider seeing your healthcare provider or getting a test for COVID-19.
You should also monitor your health and consider consulting your primary care physician after testing positive for COVID-19.

You MUST inform your supervisor if you:

    Receive a confirmed positive COVID-19 test result; Have been diagnosed with COVID-19 by a licensed healthcare provider; Have been told you are suspected to have COVID-19 by a licensed healthcare provider; Experience new loss of taste and/or smell with no other explanation; Experience both fever (equal to or greater than 100.4 degrees F) and new unexplained cough associated with shortness of breath
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