In order to help prevent the spread of COVID-19 and reduce the potential risk of exposure to our team members, we are requiring all StyleCraft team members and all visitors to complete a short screening form. Your adherence to this process is critical in helping us take precautionary measures to protect you and those around you.

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* 1. Please enter your contact information

Please indicate your understanding of the following by checking the appropriate box:

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* 2. To the best of your knowledge, you have not been exposed to anyone who has tested positive for COVID-19 or recently been exposed to someone exhibiting symptoms of COVID-19 in the past 14 days.

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* 3. To the best of your knowledge, you are not showing any signs of one or more of the following symptoms: Temperature of 100.4 F or higher, cough, shortness of breath, difficulty breathing, tiredness.

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* 4. If you begin to feel ill while at our office or shortly afterwards, you will immediately notify the management team.  If you feel ill while at the office, you will leave the office immediately.  If you test positive for COVID-19 within fourteen (14) days of your visit you will notify our management team.

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* 5. You have followed the most current state travel restrictions, as defined by the Virginia Department of Health for any recent travel (domestic and international).

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* 6. You will limit all contact with surfaces, sanitize as posted and avoid physical contact with people while at our office.  You agree to abide by all Virginia Workplace Safety Requirements (as detailed by VOSHA) during your visit.  If you do not agree to any of the above, you will be required to leave the premises.

The information provided on this form is true and correct to the best of my knowledge.

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