• ESSPA Employee COVID-19 Questionnaire

  • You must answer “NO” to all the questions in this questionnaire in order to enter and work at ESSpa today. If you answer “YES” to any of the questions, please DO NOT come to work or enter the building.

    If you experience any symptoms or answer “YES” to any of these questions, you must immediately notify Eva+Scott+manager AND contact your health care professional for recommended next step(s).

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  • If you answered “Yes” to any questions above, please call Eva+Scott immedately for further instructions. You might be asked to:

    • Self- quarantine for at least 10 days from the date on which you first experienced any of the above symptoms ; AND
    • Wait until you have had no fever for at least 3 days (without the use of fever-reducing  medication) AND
    • Improved respiratory symptoms (no cough, shortness of breath)
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  • If you answered “Yes” to any part of question two, please Alert your Manager immediately. You might be required to self quarantine for at least 14 days.

    I am providing this personal linformation willfully and without coercion. By my signature below, I confirm that all information herein is truthful and accurate. I acknowledge and hereby indemnify, waive and release ESSpa, its owners and managers from any and all liability as may relate to any unintentional exposure or harm due to Covid-19.

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