COVID-19 Visitor Health Screening Survey

AEW is committed to the safety of its employees and visitors. To do our part in preventing the spread of COVID-19 and to reduce the potential risk of exposure to employees and visitors, all visitors that enter our company premises are required to complete the following Health Screening Survey. Thank you for your cooperation.

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* 1. Do you have or have you had a fever in the past 24 hours with a temperature of 100.4 degrees F or greater?

Yes

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* 2. Have you had a cough or shortness of breath/chest tightness in the past 24 hours?

Yes

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* 3. Have you had a sore throat, loss of taste or smell, diarrhea, chills or nausea in the past 24 hours?

Yes

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* 4. In the last 14 days have you knowingly had close contact with someone with a positive diagnosis of COVID-19?

Yes

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* 5. In the last 14 days have you traveled internationally?

Yes

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* 6. Comments:

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* 7. Name:

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* 8. In the event we need to reach you, please provide your contact information (phone number or email address)

If you answer YES to ANY of the above questions, You are not permitted to enter any of the AEW offices.