Employees need to complete this form any day they come to campus. You must have JavaScript enabled to use this form. Name First Last Email What is your temperature? Do you have any of the following (please check all that apply) Fever (100.4 or greater) or chills Cough Shortness of breath Difficulty breathing Body aches Headache New loss of taste or smell Sore throat None of the above Do you work for Krammes? - Select -YesNo Have you been in close contact (within 6’) with someone who has a laboratory confirmed Covid-19 diagnosis within the past 14 days? - Select -YesNo Submit
