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Workplace Screening

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This question requires a valid date format of MM/DD/YYYY.
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3. In the past 14 days have you had close contact with an individual diagnosed with COVID-19? *This question is required.
4. In the past 14 days hae you traveled internationally or domestically? *This question is required.
If you answer "yes" to either of these questions, please do not go into work.  Self-quarantine at home for 14 days.
5. Please check any that apply, In the past 24 hours, have you experienced: *This question is required.
Your current temperature is less than 100.4 *This question is required.
If you have experienced any of the symptoms listed above, or your temperature is 100.4 degrees or higher, please do not go into work.  Self-isolate at home and contact your primary care physician's office for direction.  You must have 3 days without fevers and improvement in respiratory symptoms before returning to the office and at least 7 days have passed since syptoms first appeared.