The safety of our employees, supplier partners, customers, families and visitors remain Wyatt Technology’s overriding priority. As the coronavirus disease 2019 (COVID-19) outbreak continues to evolve and spreads globally, Wyatt Technology is monitoring the situation closely and will periodically update company guidance based on current recommendations from the Centers for Disease Control and Prevention and the World Health Organization. Only business critical visitors are permitted at any Wyatt Technology facility at this time.

To prevent the spread of COVID-19 and reduce the potential risk of exposure to our workforce and visitors, we are conducting a simple screening questionnaire. Your participation is important to help us take precautionary measures to protect you and everyone in this building. Thank you for your time.

Visitor's Name (*)

Visitor's Company/Organization (*)

Reason for Visit (*)

Your Personal Phone Number (*)

Have you recently returned from outside the country within the last 14 days?

Have you had close contact with or cared for someone diagnosed with COVID-19 within the last 14 days?

Have you experienced any cold or flu-like symptoms in the last 14 days (to include fever, cough, sore throat, respiratory illness, difficulty breathing)?