COVID Symptom Checker Form for EmployeesFull Name * In the last 2 weeks, did you have close contact (within 6 feet) with someone with symptoms of COVID-19, tested for COVID-19, or diagnosed with COVID-19? * YesNoDo you have any of the following?Fever or chills * YesNoCough * YesNoMild difficulty breathing or shortness of breath * YesNoExcessive fatigue * YesNoHeadache * YesNoSore throat * YesNoMuscle or body aches * YesNoNausea or vomiting * YesNoDiarrhea * YesNoLoss of taste or smell * YesNoCongestion or runny nose * YesNoOther symptoms? Please describe: If you are feeling sick, stay home and schedule a COVID test. Paid time off is available. We believe it’s better to be safe than sorry!