Crickler COVID-19 Screening | Crickler Vending Company

Name*

First Last

Are you a vendor/supplier (Not Crickler)?*

If you are not an employee at Crickler, select yes. If you are a Crickler employee, select no.

Yes
No

Company name

Crickler location*

Temperature:*

If your temperature is 99.5 or above, you must return home and wait until a manager reaches out to you with further instructions before returning to work.

Have you experienced any of the following symptoms in the past 48 hours?*

Check all that apply.

Within the past 14 days, have you been in close physical contact with someone who is COVID positive or showing symptoms?*

Close physical distance would be 6 feet or closer for a cumulative total of 15 minutes in which one or both people were not wearing masks. -- Check all that apply.

Yes, someone who is known to have laboratory-confirmed COVID-19
Yes, someone who has symptoms consistent with COVID-19
No, have not been in contact with anyone who is covid positive or showing symptoms

Crickler Facilities COVID-19 Screening