COVID-19 Self Check Questionaire

A detailed illustration of a health professional discussing COVID-19 safety protocols with a diverse group of employees in a workplace setting, with visuals of symptoms and safety guidelines in the background.

COVID-19 Self Check Questionnaire

Stay safe and informed with our COVID-19 Self Check Questionnaire. This quiz is designed to help you assess your risk of COVID-19 exposure and symptoms, ensuring the health and safety of yourself and those around you.

By participating in this quick and easy assessment, you will:

  • Evaluate your current health status.
  • Be informed about necessary precautions.
  • Know when to reach out for help.
6 Questions2 MinutesCreated by CaringNurse257
Are you experiencing abnormal symptoms that are not related to an underlying health condition?
Yes
No
Please contact your Manager and Natalie Loesch at (616) 260-8727 if you are experiencing any abnormal symptoms or any of the symptoms listed below:
-Fever greater than 100.4
-New muscle aches or headache
-New loss of taste or smell
-New cough
-Difficulty breathing
-Shortness of breath
-Gastrointestinal symptoms
-Chills
-Sore throat
Please contact your Manager and Natalie Loesch at (616) 260-8727 if you are experiencing any abnormal symptoms or any of the symptoms listed below:
-Fever greater than 100.4
-New muscle aches or headache
-New loss of taste or smell
-New cough
-Difficulty breathing
-Shortness of breath
-Gastrointestinal symptoms
-Chills
-Sore throat
Have you been in direct contact with someone that has tested positive for COVID-19 in the last 2 weeks? (Direct contact is defined as anything less than 6 feet for 15 or more minutes)
Yes
No
Not Sure
If you have been in direct contact with someone that tested positive in the last 2 weeks, please contact Natalie Loesch immediately via phone at (616) 260-8727 or via email at nloesch@serv-u-success.com.
If you have been in direct contact with someone that tested positive in the last 2 weeks, please contact Natalie Loesch immediately via phone at (616) 260-8727 or via email at nloesch@serv-u-success.com.
If you have not been in direct contact with anyone that has tested positive for COVID-19, there is no concern and you can remain working.
Be sure to follow Serv-U and Meijer guidelines remaining 6 feet apart with PPE such as masks and gloves. Practice good hygiene by washing your hands for 20 seconds and sanitizing after touching high touch surfaces.
If you are planning on getting tested for COVID-19 you can find helpful information on the COVID Crisis Communication page. Please inform Human Resources if you test positive for COVID regardless of if you are experiencing symptoms.
If you have not been in direct contact with anyone that has tested positive for COVID-19, there is no concern and you can remain working.
Be sure to follow Serv-U and Meijer guidelines remaining 6 feet apart with PPE such as masks and gloves. Practice good hygiene by washing your hands for 20 seconds and sanitizing after touching high touch surfaces.
If you are planning on getting tested for COVID-19 you can find helpful information on the COVID Crisis Communication page. Please inform Human Resources if you test positive for COVID regardless of if you are experiencing symptoms.
If you have not been informed of direct contact by your local health department or someone that has tested positive then there is no concern and you can remain working. If you are still unsure whether you should remain working, feel free to contact Human Resources to clarify any questions or concerns.
If you are planning on getting tested for COVID-19 you can find helpful information on the COVID Crisis Communication page. Please inform Human Resources if you test positive for COVID regardless of if you are experiencing symptoms.
If you have not been informed of direct contact by your local health department or someone that has tested positive then there is no concern and you can remain working. If you are still unsure whether you should remain working, feel free to contact Human Resources to clarify any questions or concerns.
If you are planning on getting tested for COVID-19 you can find helpful information on the COVID Crisis Communication page. Please inform Human Resources if you test positive for COVID regardless of if you are experiencing symptoms.
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