OMS Health Check

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Health Pass Questions

Health Pass uses questions based on publicly available guidance from the CDC, as well as other health institutions. The survey was reviewed and refined with the assistance of CLEAR’s medical advisors.

1. In the past 10 days have you experienced any of the following new or worsening symptoms? a. Fever b. Shortness of breath or difficulty breathing c. Sinus congestion or runny nose d. Loss of taste or smell e. Persistent cough

Yes
No

2. In the past 10 days have you experienced any of the following new or worsening symptoms? a. Nausea, vomiting, diarrhea or loss of appetite b. Headaches or sore throat c. Severe muscle aches d. Fatigue

Yes
No

3. In the past 14 days have you been diagnosed with COVID-19 or asked to quarantine?

Yes
No

4. In the past 14 days, have you had close contact or high-risk exposure to someone with an active or suspected case of COVID-19? This would include being less than 6 feet away for more than 15 minutes in a 24 hour period or direct contact with mucus or saliva.

Yes
No

5. In the past 10 days have you been asked to get a COVID-19 test due to symptoms or risk of exposure and are still waiting for the results or received an inconclusive result?

Yes
No

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