• Have you experienced any flu like symptoms in the last 30 days?

  • During the Covid-19 Pandemic was your job considered “essential”?

  • If you answered “yes” to question 2, please answer the following question(s): While working were you able to maintain a social distance of 6ft or more from other employees/employers?

  • Did your employer implement safety protocols such as: Handwashing, disinfecting, social distancing, wearing masks and also the frequent check of body temperature?

  • Have you traveled within the US in the last 14 days?

  • Have you traveled outside the US within the last 14 days?

  • Do you work in the medical field?

  • If you answered yes to the question above and you DO work in the medical field did you come in contact with a patient being treated for Covid-19 or have you been exposed to Covid-19 in anyway?

  • If you did not work during the pandemic this question applies to you: Have you come in contact with anyone who was exposed or treated for Covid-19?

  • Do you think you have followed state shut down orders and quarantine guidelines to the best of your abilities in the last 30 days?

  • Do you sanitize regularly with soap, hand sanitizer or disinfectant?

  • Moving forward, Would you like to continue May’s Cleaning Schedule?

  • Would you feel safer or less at risk if we wore mask and gloves when entering your home?

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