Daily COVID-19 Employee Questionnaire

The safety of our employees, customers, families and visitors remain Achieve Beyond's top priority. Achieve Beyond continues to monitor the situation closely and will periodically update company guidance based on current recommendations from the Centers for Disease Control and Prevention (CDC).

To prevent the spread of COVID-19 and reduce the potential risk of exposure to our workforce, we are conducting a simple daily screening questionnaire. Your participation is required daily prior to entering the office and is important to help us take precautionary measures to protect your your fellow employees, and visitors.

Please note all employees are required to abide by social distancing of a minimum of six feet, follow hand washing procedures, and to wear their facemask in all common areas of the office and when within six feet of a fellow co-worker.

Full Name:(*)

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Which office are you working in?(*)





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1. Have you experienced any cold or flu-like symptoms in the last 14 days (to include fever, cough, sore throat, respiratory illness, or difficulty breathing?(*)


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2) Have you had close contact with or cared for someone diagnosed with COVID-19 within the last 14 days?(*)


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3) Have you returned from traveling internationally within the last 14 days?(*)


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4) Have you been in close contact with anyone who has traveled internationally within the last 14 days?(*)


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Please note that your responses will be forward to the Human Resources department. If you answered yes to any of the above questions, please contact HR immediately at This email address is being protected from spambots. You need JavaScript enabled to view it. to discuss.