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Daily Health Screening Information

Experience Grand Rapids believes in the health and well-being of our employees and visitors. On the day of your visit to our downtown office, we require that you fill out our survey below before your visit. 

A copy of our Emergency Preparedness & Response Plan is available by contacting Kim Young, KYoung@ExperienceGR.com.

Please read each of the following statements carefully. If you select I Agree, you are approved to visit us. If you select I Do Not Agree, please contact the Experience Grand Rapids staff member you are meeting with to reschedule your visit at another time. Thank you!

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) or chills

  • An uncontrolled cough

  • Shortness of breath or difficulty breathing

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.

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

Please enter the name of the person you are visiting within our office.

Health Questions

* Indicates a required field.