COVID-19 On-Site Employee Visit

In an effort to reduce the risk of COVID-19 exposure to McKonly & Asbury employees, all clients must complete the following questionnaire in advance of an on-site employee visit.

Health Screening Form

  • MM slash DD slash YYYY
  • Answering ‘no’ to any of the first four (4) questions, or ‘yes’ to the fifth (5th) question, may limit our ability to be on-site at your Company’s facility. Please inform us prior to an on-site visit if your answers to any of these questions have changed.

  • This field is for validation purposes and should be left unchanged.