COVID-19 screening

screening - Step 1

Some text some message..

Who are you?

Which facility are you at?

Temperature

What is your name?

What kind of provider are you?

What is your name?

What is your name?

What is your phone number?

Employee ID

How long is your shift today?

Have you been in close contact to someone with COVID-19 in the past 10 days?

Have been diagnosed with COVID-19 past 10 days?

Please select if you are experiencing any of the following

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