Staff COVID-19 ScreeningPlease enable JavaScript in your browser to complete this form.Name *FirstLastDate *Location *OssingtonChristieDo you have any of the following symptoms? *Fever (temperature of 37.8°C/100.0°F or greater)ChillsNew onset of cough/ worsening chronic coughShortness of breathDecrease or loss of sense of taste or smellSore throatMuscle aches/Joint paintExtreme fatigue, lethargy, or malaiseRunny nose/ congestionHeadacheNauseaVomiting and or/ diarrheaAbdominal painConjunctivitis ( Pink eye)None of the aboveIf you said yes to any of the following symptoms, please refer to our Updated COVID-19 Guideline.In the last 5 days, has someone you live with been sick with symptoms associated with COVID-19 and/or tested positive for COVID-19? *YESNOIf you said yes to this question, please refer to our Updated COVID-19 Guideline. In the last 5 days, have you tested positive or identified as a close contact of someone who currently has COVID-19? *YESNOIf you said yes to this question, please refer to our updated COVID-19 Guideline. If I have answered yes to any of the above, I certify that I have read the COVID-19 Guideline document on how to proceed with my situation. I agreeSubmit