Employee Health Screening

All employees must complete this screening survey before entering the Wooden Hill facility for the day. Your information is kept secure and confidential.

Name*

Email*

Have you had any of the following symptoms since your last day at work or the last time you were here that you cannot attribute to another health condition?*

Is anyone in your household experiencing any of the above symptoms?*

YES
NO

Have you had recent contact with anyone experiencing any of the above symptoms?*

YES
NO