Crown Motors Daily Screening

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Crown Motors Employee Health Check

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Adres e-mail *

FULL NAME *

PHONE NUMBER *

LOCATION *

Regent

Crown II

CDJR

Mall

Outlet

Have you traveled or been in contact with someone who has traveled outside your region in the past 14 days? *

YES

Have you or any member of your family been in close contact with a person diagnosed with or person suspected with COVID-19 or person who has been quarantined at home during the last 14 days? *

YES

Are you experiencing any of the following? (Select all that apply) *

Fever

Sore throat

an uncontrolled cough

shortness of breath

diarrhea, vomiting, or abdominal pain

new onset of a severe headache

NONE OF THE ABOVE

Wymagane

If you have experienced any of the symptoms listed, please do NOT go to work. You should self-isolate at home and contact your manager and/or Human Resources.

Dalej

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