COVID-19 Employee Form Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Email *Manager *Bob FrausBrad BrickelBrett BuchholzBob Cloutier Carol ThurberChad FindleyDave MillerJeff HuhtaKevin NavaroliMike PetersonPat WilliamsPaul TulikangasSteve HenigeTim GermainSteve SuttonJason LonghurstHealth ScreeningPlease answer "yes" or "no" if you are experiencing any of the following symptoms unrelated to a pre-existing medical condition.Body Temperature *Cough *YesNoExcluding chronic cough due to a known medical reason unrelated to COVID-19 Shortness of Breath *YesNoSore Throat *YesNoDiarrhea *YesNoExcluding diarrhea for known medical reasonChills *YesNoNew Loss of Taste or Smell *YesNoIn the last 14 days have you knowingly had close contact with someone with a positive diagnosis of COVID-19? *YesNoIn the last 14 days have you travelled via airplane internationally or domestically? *YesNoI confirm I am experiencing symptoms associated with COVID-19EmailSubmit