Reminder: please submit proof of vaccination to email@example.com
You are being asked to answer this questionnaire in order to determine whether you have or may have COVID-19 or may have been recently exposed. This is being done solely for the purpose of protecting your workplace from potential spread of the disease. Any response you provide, and/or any directive you receive to stay home, does not constitute a diagnosis of COVID-19, nor are we advising you whether you need to get tested or contact a physician. You can consult CDC and health department websites for guidance in that regard.