alert("Test");

Return to Work Survey


Entry Granted



Entry Denied


Location of Entry:
Have you or someone in your household traveled outside the United States within the past 14 days?
In the past 14 days, have you or someone in your household tested positive or quarantined under a medical professional's order for COVID-19?
Are you currently waiting for results from a COVID-19 test, excluding anti-body test?
In the past 14 days, have you been within 6 ft. of a person for 15 minutes or more who tested positive for COVID-19?
Are you experiencing any of the following symptoms (new or different from normal and not associated with any pre-existing condition)? Fever of 100.4 or higher and/or chills
Cough
Shortness of breath or difficulty breathing
Fatigue
Muscle or body aches
Headache
Loss of taste or smell
Sore Throat
Congestion or runny nose
Nausea or Vomiting
Diarrhea