Covid-19 Daily Questionnaire - Direct Tap
Direct Tap
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Please write out your first and last name below: *
Please select your department *
Please select your work location: *
Are you having any difficulty breathing? *
Have you recently/do you currently have a fever or any body chills? *
Are you experiencing any of the following symptoms: A cough, sore throat, extreme fatigue, or body aches? *
Required
Are you experiencing any loss of taste or sense of smell? *
Have you been exposed or in contact with anyone who has tested positive for COVID-19 in the last 14 days? *
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