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Employee Screening Questionnaire

The safety of our employees is our overriding priority. As the pandemic continues, we are monitoring the situation closely and following the guidance from the Centers for Disease Control and Prevention[source] and local health authorities. In order to prevent the spread and reduce the potential risk of exposure to our workforce, ​we are asking everyone to complete and submit this questionnaire ​prior to entering the worksite​.

Please respond to each of the following questions truthfully and to the best of your ability​. Your participation is important to help us take precautionary measures to protect you and our other employees.

Please do not enter the worksite until you have responded to every question in this questionnaire.