TrackXperience COVID-19 Self-Screening

The safety of our employees, customers and visitors, remains the company’s primary concern. As the coronavirus (COVID-19) outbreak continues to evolve and spread, the company is monitoring the situation closely and will periodically update our protocol based on recommendations from the CDC and WHO.

To help prevent the spread of COVID-19 and reduce the potential risk of exposure to our employees and visitors we are conducting a simple screening questionnaire. Your participation is important to help us take preliminary measures to protect you and everyone at Spring Mountain.

Thank you for your time and cooperation.

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1. Contact Information:

First Name: *

Last Name:

If you answer yes to one or more of the following questions, you may be contacted for more details.

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2. Are you showing any signs of one or more of the following symptoms? Temperature > 100.4 Fahrenheit (38 degrees Celsius) or higher, cough, shortness of breath, difficulty breathing, or tiredness? If you suffer from allergies or an ongoing health condition and do not have any abnormal symptoms, answer "No."

Yes

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3. Have you been exposed to someone with COVID-19 positive test results in the last 14 days?

Yes

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4. By clicking "I Agree" you are confirming that the information you provided on this form is true and correct to the best of your knowledge?

I Agree