Required Daily COVID19 -Health Screening
Our workplace policies ensure that workers showing symptoms of COVID-19 are prohibited from the workplace.

You will be encouraged to work at home as much as possible and we will be limiting workers on-site to essential workers only. In order to make the work environment safe for all, please confirm that none of the following applies to you:
Have you had symptoms of COVID-19 in the last 10 days? Symptoms include fever, chills, new or worsening cough, shortness of breath, sore throat, and new muscle aches or headache. *
Have you been directed by Public Health to self-isolate? *
Have you travelled outside of the country in the last 14 days? *
Have you come into contact with anyone who has a confirmed case of COVID-19 in the last 14 days? *
You are aware that no visitors are allowed on set or in the production office? *
You are aware of the risks involved in providing your services amidst the COVID-19 Pandemic and you hereby voluntarily agree to participate in the production with full knowledge, appreciation, and understanding of the dangers and personal risks involved. *
What production are you completing this form for? *
Name: *
Phone *
Email: *
Date: *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy