Employee Covid-19 Health Declaration

arrow&v
1. Are you Sick?

Shortness of Breath

Chest Pain

Shortness of Breath.gif
Chest Pain.jpg

Unconsciousness

Unconsious.jpg

Very Tired/Confused

Confused.jpeg
Are you feeling any of these feelings?
2. You hard to breathe lying down?
shortness of breath at rest.jpeg
3. Do you have any...
Fever.png
vomiting.png
Sore Joints.png
Cough.png
chills.png
Shortness of breath 2.png
Diarrhea.png
Sore Throat.png
pink eye.png
Rash.jpg
Nausea.png
Runny Nose.png
headache.png
Are you feeling any of these feelings?
4. Do People in your House Feel Sick?
Fever.png
vomiting.png
Sore Joints.png
Cough.png
chills.png
Shortness of breath 2.png
Diarrhea.png
Sore Throat.png
pink eye.png
Rash.jpg
Nausea.png
Runny Nose.png
headache.png
People in your house feeling these feelings?
5. Last 14 Days, did you;