JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SNACK Coronavirus COVID-19 Screening Questionnaire
All SNACK participants, employees, contractors, and visitors must complete a health screening before entering SNACK facilities. This health screening must be completed on each day of arrival.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name (first and last):
*
Your answer
Today's Date
*
MM
/
DD
/
YYYY
Phone Number:
*
Your answer
Email Address:
*
Your answer
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 everyone at SNACK.
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of SNACK & Friends Inc..
Report Abuse
Forms
