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Thank you for doing your part in protecting our community against COVID-19 infection. Please complete the following questions to the best of your ability (your answers will be anonymous).

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Was there signage at the doors about required Mask wearing? *
Were ALL EMPLOYEES properly wearing masks? *
Was hand sanitizer readily available at the entrance? *
Were physical distancing measures in place (For example, floor markings, barriers, etc.) *
Date of Service *
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Business Name and Location *
Comments
Name (optional)
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