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COVID-19 EMPLOYEE HEALTH CHECKLIST

Name: Donovan Allen


Symptoms Thursday Friday Saturday Sunday Monday Tuesday Wednesday
Apr 23 Apr 24 Apr 25 Apr 26 Apr 27 Apr 28 Apr 29
Temperature

Cough

Sneezing

Sore Throat

Loss of Smell

Tired/Fatigue

Chest Pains

Difficulty
Breathing

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