Levitzacks' Employee and Visitor Health Screening Protocol and Questionnaire
RequiredRequired Question(s)
Please be advised there is a new Health Screening Protocol regarding COVID-19 screening of employees and visitors prior to allowing entry into our office.  This questionnaire must be completed daily or as needed prior to entering our office suite for the first time each day.  If you have not completed the questionnaire, you will not be able to come into the office.  (For LevitZacks' employees, once we implement temperature checks, this questionnaire will only be needed before 8:30 am and after 11:30 am M-F and any time on the weekends.)
 
Required 1.

Name and, if you are not a LevitZacks' employee, please add your company name too. 

 

50 characters left.
All employees and visitors will be prohibited from entering our office if you have any of the following symptoms:
 
Required 2.

Do you have a fever of 100 degrees or higher? 

Yes
No
  • Comment:

  • 500 characters left.
Required 3.

Do you have a cough?

Yes
No
  • Comment:

  • 500 characters left.
Required 4.

Are you experiencing shortness of breath?

Yes
No
  • Comment:

  • 500 characters left.
Required 5.

Are you having trouble breathing?

Yes
No
  • Comment:

  • 500 characters left.
Required 6.

Do you have two or more of the following symptoms? 


-Fever above 98.6 degrees but less than 100 degrees

-Chills

-Repeated shaking with chills

-Muscle pain

-Headache

-Sore throat

-New loss of taste or smell


Yes
No
  • Comment:

  • 500 characters left.
If you answer 'yes' to any one of the above health screening questions, you will not be allowed to enter the office. Please contact Sue Watson or Lelah Walters via email or phone and they will advise on next steps.  (swatson@lz-cpa.com 619.654.9125) or (lwalters@lz-cpa.com 619.997.3927)
 
Starting June 15, 2020, all employees and visitors who are physically going into the office must complete this screening on a daily basis, prior to entering our suite until temperature screenings are implemented.

Should you have any questions, or difficulty accessing the health screening questions, please don't hesitate to reach out to Sue Watson  or Lelah Walters.

Thank you for your continued cooperation and support.  

Be Well,

Team LZ Management