You Must Complete Our COVID-19 Mandatory Screening

As part of our commitment to providing a safe and healthy workplace, this daily screening is required for entrance to the jobsite. Your answers will only be used to generate a PASS/FAIL response, which may be shared with your employer. Thank you for providing honest answers. Together, we are doing our part to ensure a safe jobsite and minimize the spread of COVID-19.

    Your Full Name *

    Your Company Name *

    Have you been diagnosed with COVID-19 in the last 14 days? *YesNo

    Have you experienced any COVID-19 symptoms in the last 24-hours? This includes fever, cough, sore throat, shortness of breath, chills, muscle aches, headaches, and other cold/flu symptoms. *YesNo

    Have you been in close contact with anyone diagnosed with COVID-19 in the last 14 days? *YesNo