Employee Health Screening Tool

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Please answer the following questions to determine if it is safe for you to come to the office. Enter your email address for information about this demo.

Email *

What is your employee ID? *

Have you had any signs or symptoms of a fever in the past 24 hours such as chills, sweats, felt "feverish" or had a temperature that is elevated for you (100.04F or greater)? *

1 point

Yes

Do you have a cough? *

1 point

Yes

Do you have shortness of breath or chest tightness? *

1 point

Yes

Do you have a sore throat? *

1 point

Yes

Do you have nasal congestion or runny nose? *

1 point

Yes

Do you have body aches (myalgia)? *

1 point

Yes

Do you have loss of taste and/or smell? *

1 point

Yes

Do you have diarrhea? *

1 point

Yes

Do you have nausea? *

1 point

Yes

Have you vomited in the past few days? *

1 point

Yes

Do you have fever, chills or sweats? *

1 point

Yes

Have you been in contact within the last 14 days with someone with a confirmed diagnosis of COVID-19? *

1 point

Yes

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