COVID-19 (Novel Coronavirus) questionnaire

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Coronavirus Stay Alert to stay Safe

The safety of our Employees, Families, Student’s, and visitors remain EHUK’s overriding priority.

As the coronavirus disease 2019 (COVID-19) outbreak continues to evolve and spreads globally, EHUK are monitoring the situation closely and will periodically update company guidance based on current recommendations from the Centers for Disease Control and Prevention and the World Health Organization.

Only business critical visitors are permitted at this time.

To prevent the spread of COVID-19 and reduce the potential risk of exposure to our Families, student’s, and visitors, we are conducting a simple screening questionnaire.

Your participation is important to help us take precautionary measures to protect you and everyone in this building.

Thank you for your time.

    COVID-19 Family-Visitor-Students Questionnaire

    Self Declaration
    		 
    		YesNo
    • Have you had close contact with or cared for someone diagnosed with COVID-19 within the last 14 days?
    		YesNo
    		YesNo
    • Have you experienced any cold or flu-like symptoms in the last 14 days (to include fever, cough, sore throat, respiratory illness, difficulty breathing)?
    		YesNo
    • Have you been tested for COVID-19 as you are a Key Worker or through symptoms and please note the results?
    		YesNo
    PositiveNegative
    • If Tested positive for COVID-19 are you fully recovered and non-contagious
    YesNo
    I confirm all statements above are accurate to the best of my knowledge.


    EHUK requires all current and new
    Host Families and Guests to complete
    the COVID-19 questionnaire

    Coronavirus Stay Alert to stay Safe
    COVID-19
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