Screening Questionnaire
* Required
Employee name:
*
Your answer
Email address:
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Your answer
Branch:
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Choose
Parrish-Hare Irving
Parrish-Hare Fort Worth
Parrish-Hare Midlothian
Parrish-Hare Ennis
Power-House
Fuseco Dallas
Fuseco Houston
Fuseco Atlanta
Fuseco New Jersey
Fuseco Chicago
Fuseco Laguna Hills
Fuseco Orange
KIT
Department:
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Accounting
Inside Sales
IT
Lighting Projects
Lighting Quotes
Management
Office Ops / I.S.
Outside Sales
Purchasing
Services
Switchgear Projects
Switchgear Quotes
Warehouse
Do you intend to come in to the office today?
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No
Please enter your current body temperature:
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