RecTennis Staff Health Questionnaire
To ensure the safety of all employees, you must be authorized by your supervisor in advance of arrival in order to enter a USTA PNW workplace. For the protection of all employees, you agree to sign the following Health Questionnaire prior to entry into the USTA PNW workplace. This Health Questionnaire must be completed at the beginning of each day you are authorized to be on-site.
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Email Address *
Location *
In the past 14 days, have you experienced COVID-19 symptoms, including cough, shortness of breath or difficulty breathing, or at least two of these symptoms: (a) fever of 100.4 or higher; (b) chills: (c) repeated shaking with chills; (d) muscle pain; (e) headaches; (f) sore throat; and (g) new loss of taste or smell? *
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