Employee COVID-19 Daily Assessment

COVID-19 SELF-ASSESSMENT (For Employees ONLY)

COVID-19 Self-Assessment
Have you tested positive for COVID-19 (either by saliva or nasal or throat swab), in the past 14 days? (Follow self-isolation process) *
Do you have a Fever (temperature 100.4 or greater) without having taken any fever reducing medications or have you had symptoms of a fever in the past 24 hours such as chills, sweats, felt "feverish"? *
Select any of the following COVID-19 related symptoms that you have had in the past 14 days. *
Did you select any of the symptoms in Question 3? *
Have you been in close or proximate contact (within 6 feet for at least 10 minutes) with someone with a confirmed or suspected COVID-19 case in the past 14 days? *
Have you traveled in the past 14 days to a country or state who has been on Level Three Travel Health Notice or under the NYS Travel Advisory? *