QDI Office - Visitor Access Form
Each potential visitor must complete this form before gaining access to the QDI corporate office.
Email address *
First Name *
Last Name *
Company Name *
Phone Number *
Name of QDI employee you are meeting: *
Date of Visit: *
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Have you been outside the state of Florida in the past 30 days? *
Have you experienced a fever, cough, or shortness of breath over the past 30 days? *
Have you been in close contact (within 6 feet) to anyone who has a confirmed case or suspected of having COVID-19? *
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