NorthShore COVID-19
Employee Screening Questionnaire
You have NOT PASSED the Employee Screening Questions

Based on your responses, you will not be permitted to enter the facility at this time.

Swedish Employees
Please contact Employee Health Service (EHS) by calling Employee Health at 773-878-8200, Ext 1606, Monday – Friday from 8 a.m. to 4 p.m. and weekends from 8 a.m. to noon. When closed follow your normal Call-off procedures and call EHS in the morning. Please do not fill out the EH Questionnaire, but instead please call Swedish EH as directed above.


<<- Retake Screening Questions
KEY SAFETY PRACTICES
  • * Keep 6 ft distance from everyone whenever possible *
  • * Perform hand hygiene *
  • * In clinical areas always wear a facemask. When interacting with patients, wear a facemask and eye protection. In non-clinical areas wear a facemask when you are unable to maintain 6ft social distance. *
  • * Participate in symptom and temperature screening and stay home if you are sick *