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WEST WENDOVER HIGH SCHOOL COVID-19 Employee Screening
“YES or NO, since your last day of work, or since your last visit to this facility, have you had any
of the following:”
First Name Last Name *
WWHS *
Email Address *
A new fever (100.0°F or higher), or a sense of having a fever? *
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A new cough that you cannot attribute to another health condition? *
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New shortness of breath that you cannot attribute to another health condition? *
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A new sore throat that you cannot attribute to another health condition? *
New muscle aches (myalgias) that you cannot attribute to another health condition, or that may have been caused by a specific activity (such as physical exercise)? *
I live with someone who has COVID-19? *
I have reason to believe I may have been exposed to COVID-19 (For example: Been in close contact with someone who's sick or tested positive, traveled to a high risk area outside of my community)? *
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