NSD COVID-19 Daily Health Check

Review the following questions daily and STAY HOME if the answer is “YES”.

Symptoms of COVID-19
- Fever (100.4 F) or chills
- Cough
- Shortness of breath or difficulty breathing
- Recent loss of taste or smell
- Unusual fatigue
- Muscle or body aches
- Headache
- Sore throat
- Congestion or runny nose
- Nausea or vomiting
- Diarrhea
1. Have you had any of the SYMPTOMS OF COVID-19 listed above within the past 24 hours that are not caused by another condition? For new staff/visitors or those returning from a break such as Spring Break or Memorial Day weekend, have you had any of the above symptoms in the past 3 days? *

YES NO
2. Have you been in close contact with anyone with a confirmed case of COVID-19 within the past 14 days? Close contact means being within 6 feet (2 meters) of an infected person for 15 minutes or more. *

YES NO
3. Have you had a positive COVID-19 test for the active virus in the past 10 days? *

YES NO
4. Within the past 14 days, has a public health or medical professional told you to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19? *

YES NO
Should be Empty:

Employee/Visitor Daily Health Check