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Employee Check In

Please complete the following when you arrive on campus.
  • Name * Required
  • Date Format: MM slash DD slash YYYY

  • Health Symptom Survey

    1. Do you have a fever (100.4F or higher), a sense of having a fever, or chills?
       
    2. Do you have a new cough that you cannot attribute to another health condition?
       
    3. Do you have new shortness of breath or difficulty breathing that you cannot attribute to another health condition?
       
    4. Do you have fatigue that you cannot attribute to another health condition?
       
    5. Do you have new muscle aches (myalgia) that you cannot attribute to another health condition, or that may have been caused by a specific activity (such as physical exercise)?
       
    6. Do you have a headache that you cannot attribute to another health condition?
       
    7. Do you have new loss of taste/smell that you cannot attribute to another health condition?
       
    8. Do you have a new sore throat that you cannot attribute to another health condition?
       
    9. Do you have congestion that you cannot attribute to another health condition?
       
    10. Do you have nausea or vomiting that you cannot attribute to another health condition?
       
    11. Do you have diarrhea that you cannot attribute to another health condition?
  • Please Note: If you have any of the above symptoms, you may not enter any campus building. Please leave campus as soon as possible, and report your symptomatic status by visiting: https://forms.ghc.edu/covid-report