COVID-19 Daily Screening Questionnaire

For the health of all, employees and visitors must be screened in advance before entering our buildings. Access is allowed for those who answer “No” to the following questions.

We appreciate your honesty!

Please answer each question below.

Have you or anyone in your household tested positive for COVID-19 in the past 14 days?

Have you or anyone in your household cared for or been in close contact with an individual who is in quarantine, presumed positive or confirmed positive for COVID-19 in the past 14 days?

Are you currently experiencing, or recently experienced, any of the following symptoms: Any one of the following not explained by a known medical or physical condition: Fever (100.4 or higher), an uncontrolled cough, shortness of breath OR At least two of the following not explained by a known medical or physical condition: loss of taste or smell, muscle aches (“myalgia”), sore throat, severe headache, diarrhea, vomiting, abdominal pain?