COVID Health Questionnaire
Per Governor Murphy’s Executive Order 192 effective November 5, 2020, all Library staff are required to complete and submit this questionnaire each working day.
Answer all the questions. Submit the questionnaire electronically using this online form provided prior to your work shift.
This information will remain confidential, but will be shared with the Public Health Nurse and, on a need‐to‐know basis only, with any potentially affected employees.
Name/Initials *
Is your temperature 100.4 or higher today? *
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