COVID-19 Self Screening Questionnaire

You must answer “NO” to all of the following questions in this questionnaire in order to enter our physical location. If you answer 
“YES” to any question, please DO NOT enter the company’s building. 

If you experience any symptoms or answer “YES” to any of these questions, you must immediately contact your healthcare professional and if you are an employee  notify your manager for next steps

If you answered “Yes” to any of declaration questions please DO NOT attend our office or hold a face to face meeting with our staff or participants. 

You should:

  • Get tested for COVID-19 and self-isolate until you receive your test results.
  • Wait until you have received a NEGATIVE test result and have provided a copy to your manager / us.
  • Have no further symptoms of COVID-19.
  • Improved respiratory symptoms (no cough, shortness of breath)