WTA Architects

COVID-19 Mandatory Screening

Purpose: This health survey is intended to provide information/data in order to reduce the spread of COVID-19 among employees.

** COVID-19 information is available on the CDC website **

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Do youor anyone in your household currently have or had within the last 24 hours any of the following symptoms:
Have you or someone in your household had close contact (face to face contact within 6 fee) with someone who is ill with cough and/or fever in the last 14 days?
Have you or anyone in your household been in close contact (face to face contact within 6 feet) in teh last 14 days with someone who has been tested for COVID-19 or been diagnosed with COVID-19?
Have you or anyone in your household been at a large gathering of people who do not reside in your household and were not able to comply with CDC distancing guildelines in the last 14 days?
Have you been directed by a health department or healthcare provider to self-isolate or self-quarentine in the last 14 days?
Have you traveled out of the Country or on a cruise ship in teh last 14 days?
WTA Architects

Contact Us

100 S. Jefferson Ave., Ste. 601
Saginaw, Michigan 48607
P: (989) 752-8107 | F: (989) 752-3125
E: design@wtaarch.com
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