Dynamic Variation:

Daily Health Screening Information

Your health & well-being are important. Each day you are scheduled or planning to work, you will be required to complete a daily screening before arriving to either Experience Grand Rapids' downtown office or the Gerald R. Ford International Airport Information Desk.

Please read each of the following statements carefully. If you select I Agree, you are approved to work. If you select I Do Not Agree, you are not approved for work. Please contact your supervisor.

In the last 48 hours, I have not experienced any of the following symptoms. Symptoms related to pre-existing diagnosed health conditions do not apply.

  • Fever (100.4F/38C or higher)
  • An uncontrolled cough
  • Shortness of breath

OR at least two of the following symptoms not explained by a known medical or physical condition.

  • New loss of taste or smell
  • Muscle aches ("myalgia")
  • Sore throat, congestion or runny nose
  • Severe headache
  • Diarrhea
  • Vomiting
  • Abdominal pain

Within the last 14 days, I have not knowingly been within 6 feet (2 meters) or closer (for at least 15 minutes) of anyone who is known to have laboratory-confirmed COVID-19 or with anyone who has any symptoms consistent with COVID-19.

I have not recently been tested for COVID-19, nor am I awaiting results.

I have reviewed and understand Experience Grand Rapids' processes and procedures outline in the Emergency Preparedness & Response Plan, as well as the COVID-19 Employee Training playbooks.

Please fill in your contact information below and select whether you Agree or Disagree with the questions or statements above. Thank you!

Health Questions

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