2020 Fitness Facility Staff Daily Self Health Check
This form must be completed daily before you report to work. Please complete one health check per day, regardless of the number of shifts you work.
Your Temperature this morning
Have you had any of the following symptoms in the past 24 hours?
Shortness of Breath
Repeated Shaking with chills
New loss of taste and/or smell
I have not had any of these symptoms
In the past 14 days, have you had contact with someone diagnosed with COVID-19?
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This form was created inside of Lakewood City Schools.