Mountain View Vision Covid Questionaire

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Please answer the following questions regarding COVID-19 in accordance with OSHA regulations.

1. Are you experiencing any symptoms such as fever, shortness of breath, headache, sore throat, or loss of smell or taste?
2. Has anyone in your household experienced any of the symptoms above in the past 14 days?
3. In the past 14 days, have you been in close contact of someone with suspected or confirmed COVID-19?
4. In the past 14 days, have you tested positive for COVID-19?