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Custom Questions

Explore the screening and check-in questions other facilities are using on their kiosks,
covering health, safety, visitor conduct, and staff requirements.

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General Screening & Security

  1. Do you have an appointment or a scheduled visit today?
  2. Are you a provider of essential services, a legal guardian, or a family member/friend of a resident?
  3. Are you carrying any weapons, drugs, cigarettes, vapes, or unauthorized medication?
  4. I agree that I will not give residents cigarettes, drugs, medication, cash, or valuable items
  5. Did you bring any outside food for a resident today?
  6. Did you bring a pet with you on this visit?
  7. Are you carrying any expensive items (e.g., electronics, jewelry, cash) for a resident?
  8. Are you bringing clothing for the resident/patient?
  9. Are you double parked in the facility parking lot?
  10. Do you have your visitor pass with you?
  11. Are you over the age of 18?
  12. Did you wash or sanitize your hands upon entering the building?
  13. I agree to wear my printed visitor badge at all times while inside the building.
  14. Please click yes below to acknowledge the following. Example A, B, C

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Visitor Conduct & Consent

  1. Do you agree not to leave the facility with your loved one without informing the front desk?
  2. Do you agree not to enter restricted areas (e.g., gym, rooftop) without specific permission each time?
  3. Do you agree not to leave valuables such as cash, credit cards, or expensive items with a resident?
  4. Do you agree not to bring more than 7 days’ worth of clothing due to limited storage in resident rooms?
  5. Do you agree that any belongings you bring for a resident must be inventoried by facility staff, and unlogged items are not the facility’s responsibility?
  6. Do you agree to follow all facility rules during your visit?
  7. Do you consent to video surveillance while on the premises?
  8. Do you agree to respect the privacy of all residents during your visit?
  9. Do you understand that failure to follow facility policies may result in denied entry?

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Health Screening

  1. Have you experienced a fever, cough, or shortness of breath in the past 48 hours?
  2. I confirm that I am feeling well today and have no symptoms such as fever, cough, sore throat, or shortness of breath.
  3. Have you tested positive for COVID-19 or another contagious illness in the last 10 days?
  4. Have you had close contact with someone who is sick in the past 7 days?
  5. Are you currently under quarantine or isolation orders?
  6. Are you compliant with testing or masking guidelines based on your county and vaccination status?
  7. Are you currently wearing proper source control (e.g., mask)? If not, please use the supplies at the front desk.

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Visit Duration & Limits

  1. Do you plan to leave the facility within the next 5 hours?
  2. Do you acknowledge that overnight stays are not permitted?
  3. I agree that only one visitor is allowed per resident at a time.
  4. I agree to wear my visitor badge at all times, stay out of restricted areas, leave after visiting hours, and notify the front desk if I take a resident out of the building.

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Experience & Feedback

  1. Would you like to receive updates or newsletters from the facility?
  2. Do you want someone from the facility to follow up with you?
  3. Would you like to participate in a brief survey about your visit experience?
  4. Do you have any concerns or feedback you’d like to share?

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Staff

  1. Are you currently scheduled to work today?
  2. Have you clocked in using the designated system?
  3. Have you completed your daily health check and self-attestation?
  4. Are you wearing the appropriate uniform and identification badge?
  5. Have you received the latest policy updates or shift memos?
  6. Are you up to date with required facility training or certifications?
  7. Are you experiencing any symptoms that would prevent you from working today?

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Agency Employees

  1. Are you reporting for a confirmed shift through your agency?
  2. I agree to wear my printed visitor badge at all times while inside the building.
  3. Have you checked in with the facility supervisor or staffing coordinator?
  4. Do you have a valid photo ID and agency badge with you?
  5. Have you received a briefing on facility protocols for your assignment?
  6. Are you trained to provide care or services to residents in accordance with facility standards?
  7. Have you completed the necessary onboarding for today’s role?

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Vendors / Contractors

  1. Are you here on a scheduled service or delivery?
  2. Have you signed in at the front desk or with the facilities team?
  3. Do you have identification from your company or employer?
  4. Have you reviewed and agreed to our safety and infection control guidelines?
  5. Will you be entering any resident-occupied areas?
  6. Have you been on this property within the past 14 days?
  7. Are you bringing any equipment or materials into the building?

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Tours / Prospective Families

  1. Do you have a scheduled tour or appointment today?
  2. Have you received an information packet from our admissions team?
  3. Are you visiting with the intention to consider residency for a loved one?
  4. Are you aware that photography or video recording is not allowed during tours?
  5. Do you understand that for safety, access to some areas may be limited?

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Volunteers

  1. Are you a registered volunteer with this facility?
  2. Have you signed in at the volunteer station or reception?
  3. Have you been assigned a supervisor or point of contact for today?
  4. Are you scheduled to interact directly with residents?
  5. Are you aware of the confidentiality and conduct expectations for volunteers?
  6. Have you completed required training or orientation prior to today’s visit?
  7. Do you have your volunteer ID badge with you?