top of page

IMPORTANT!!  VOLUNTEERS MUST FILL OUT THIS FORM BEFORE EACH SHIFT

SKIP Volunteer Daily Self Evaluation

As part of the MA COVID-19 regulations for restaurants the State requires employers to evaluate employees before each shift. Employee self evaluations make it easier for both employer and employee to meet this requirement. Volunteers and employees must answer the following questions before reporting for work at SKIP.

​

Please refer to the Massachusetts Travel Form Lower Risk States here.

Have you had a cough, shortness of breath or difficulty breathing in the last 24 hours? IF YOU SELECT YES, PLEASE DO NOT COME INTO WORK!
Have you had at least 2 of the following symptoms in the last 24 hours? IF YOU SELECT YES TO TWO OR MORE SYMPTOMS, PLEASE DO NOT COME INTO WORK!
Have you tested positive for COVID-19 In the last 14 days ? IF YOU SELECT YES, PLEASE DO NOT COME INTO WORK!
Have you been in close contact with someone with symptoms or has tested positive for COVID-19 In the last 14 days? IF YOU SELECT YES, PLEASE DO NOT COME INTO WORK!
Do any of the following apply to you in the last 14 days? IF ANY APPLY, PLEASE DO NOT COME INTO WORK!
bottom of page