COVID Visitor Assessment
For the safety of our team members, please answer the following survey.
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Visitor's Name *
Visitor's Company *
Are you currently awaiting COVID test results? *
Have you been around anyone that you are aware of in the last 12 days that has tested positive for COVID? *
Have you been around anyone that you are aware of in the last 12 days that is showing symptoms of COVID? (Dry cough, fever, loss of taste or smell, sore throat) *
Do you feel that you have any of the above symptoms? *
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