Employee Health Survey If you are human, leave this field blank.The State of Vermont requires this survey be completed by all employees each shift as part of the Governors COVID-19 reponse orders.Employee Initials *Do you have symptoms of respiratory illness? Fever (temp of 100.4 or above per State of Vermont VOSHA training), cough, shortness of breath *YESNOHave you been given a positive diagnosis of Covid-19? (If yes to a positive diagnosis but no symptoms, you should still answer yes to this question.) *YESNOHave you had direct contact with a covid-19 positive individual and not self quarantined for 14 days? *YESNOSubmit