Do you have ONE or more of the following symptoms that is unusual for you: fever (temperature of 100.4°F or greater) or feel feverish; cough; shortness of breath/difficulty breathing; chills; repeated shaking with chills; muscle pain; headache; sore throat; loss of taste or smell; congestion or runny nose; nausea or vomiting; diarrhea; or general unwell feeling? Do you have ONE or more of the following symptoms that is unusual for you: fever (temperature of 100.4°F or greater) or feel feverish; cough; shortness of breath/difficulty breathing; chills; repeated shaking with chills; muscle pain; headache; sore throat; loss of taste or smell; congestion or runny nose; nausea or vomiting; diarrhea; or general unwell feeling? Yes No

Are you treating fever, aches, and/or pains that are unusual for you with prescription or over-the-counter fever/pain reducers, such as Tylenol, Aleve, Motrin, acetaminophen, naproxen sodium, ibuprofen, etc.? Are you treating fever, aches, and/or pains that are unusual for you with prescription or over-the-counter fever/pain reducers, such as Tylenol, Aleve, Motrin, acetaminophen, naproxen sodium, ibuprofen, etc.? Yes No

Are you treating a cough that is unusual for you with prescription or over-the-counter cough suppressants, such as Robitussin, Delsym, etc.? Are you treating a cough that is unusual for you with prescription or over-the-counter cough suppressants, such as Robitussin, Delsym, etc.? Yes No

Are you currently in close contact with anyone such as a family member who is experiencing symptoms or has been confirmed as positive for COVID-19? Are you currently in close contact with anyone such as a family member who is experiencing symptoms or has been confirmed as positive for COVID-19? Yes No

Are you currently infected with COVID-19? Are you currently infected with COVID-19? Yes No

REPORT TO WORK 👍 REPORT TO WORK 👍 Based on your answers you can report to work.

DO NOT GO TO WORK 👎 DO NOT GO TO WORK 👎 IMMEDIATELY call the office 205.252.4141