Employee Covid-19 Health Declaration
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1. Are you Sick?

Shortness of Breath

Chest Pain

Unconsciousness

Very Tired/Confused

Are you feeling any of these feelings?
2. You hard to breathe lying down?
3. Do you have any...
Are you feeling any of these feelings?
4. Do People in your House Feel Sick?
People in your house feeling these feelings?
5. Last 14 Days, did you;