Covid-19 Daily Screening

Covid-19 Daily Screening

Use this to check-in before coming into the station.

Name Name * First Last
Email
02 Sat *
Temp *
Cough *

Cough Yes No
Anosmia *

Anosmia Yes No
Chills *

Chills Yes No
Sore Throat *

Sore Throat Yes No
Fatigue *

Fatigue Yes No
Date Date * / MM / DD YYYY
Time Time * : HH MM