KEA Advertising | Health Screening

Have you tested positive for COVID-19 within the past 14 days?

YES

NO

Do you have, or have you had within the last 14 days, any of the following symptoms of COVID-19?

Fever, cough, shortness of breath, chills, repeated shaking with chills, muscle pain, headache, sore throat, gastric distress such as vomiting or diarrhea, body aches, new loss of taste or smell, new or worsening cough

YES

NO

Have you knowingly been in close or proximate contact in the past 14 days with anyone who has tested positive for COVID-19 or has had symptoms of COVID-19?

YES

NO

I, , agree to comply with the posted signage at Kea Advertising reminding you to adhere to proper hygiene, social distancing rules and appropriate use of PPE?

Yes

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Health Screening