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Daily COVID-19 Employee Questionnaire – VA &
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Daily COVID-19 Employee Questionnaire - VA &
Full Name:
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1) Have you experienced any cold or flu-like symptoms in the last 10 days (to include fever, cough, sore throat, muscle fatigue, headaches, respiratory illness, or difficulty breathing?
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If yes, please explain in comment box:
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2) Have you taken any fever reducing medication today?
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3) Have you had close contact with or cared for someone diagnosed with COVID-19 within the last 10 days?
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4) Have you returned from traveling internationally within the last 10 days?
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5) Have you been in close contact with anyone who has traveled internationally within the last 10 days?
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