COVID Screening Form

Welcome to the cake-factory
CDC COVID-19 symptom screening form

Because your safety is our top priority, we are asking the following health screening questions to ensure a safe work environment. Everyone must answer these questions before they arrive to work.

Remember, if you are sick or exhibiting symptoms of COVID-19 (fever of 100.4° or greater, chills, cough, fever, difficulty breathing, muscle aches, sore throat, diarrhea, recent loss of taste or smell), or if someone you live with has been lab-confirmed diagnosed with COVID-19 within the last 14 days, you must not report to work.


THANK YOU! We at cake-factory are committed to protecting the privacy and security of your information. Positive responses to any of these questions would require that you contact us before proceeding to the set. If you have any questions please don’t hesitate to get in touch with us.