COVID-19 Pre-Screening Questionnaire

To ensure the safety of our employees, anyone who enters this facility is required to fill out the following questionnaire.

Have you or anyone you have been in close contact with left the country in the last 14 days?

Have you recently travelled to an area with a known local spread of COVID-19?

Have you been diagnosed with, or are you currently awaiting tests relation to a suspected COVID-19 diagnosis?

Have you been in close contact with someone with a confirmed case of COVID-19 within the last 14 days?

Do you have a fever or symptoms of respiratory illness such as cough, sore throat, difficulty breathing or shortness of breath?

Do you acknowledge you have answered all questions truthfully?

Please, enter a valid value