Covid-19 self screen QUESTIONNAIRE

The purpose for this questionnaire is to ensure the safety and health of our workforce at this facility while attempting to mitigate the spread of COVID-19.   We are required to ask these daily screening questions before entrance to this building is permitted.  We are following recommendations from the Center for Disease Control, the state and the other applicable departments.   If your answer is “yes” to any of these screening questions, you may not enter this building.   Please promptly contact your health care provider and seek medical care as applicable, self-quarantine and advise the designated HMS daily representative. 

Thank you for your understanding and for your time.