Screening Questions for All Persons
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Do you have one or more of the following symptoms? |
○ Yes ○ No |
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Fever and/or chills |
Temperature of 38 degrees Celsius/100 degrees Fahrenheit or higher. |
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Cough or barking cough (croup) |
Not related to asthma, post-infectious reactive airways, COPD, or other known causes or conditions you already have. |
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Shortness of breath |
Not related to asthma or other known causes or conditions you already have. |
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Decrease or loss of smell or taste |
Not related to seasonal allergies, neurological disorders, or other known causes or conditions you already have. |
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Muscle aches/joint pain |
Unusual, long-lasting (not related to a sudden injury, fibromyalgia, or other known causes or conditions you already have). If you received a COVID-19 and/or flu vaccination in the last 48 hours and are experiencing mild muscle aches/joint pain that only began after vaccination, select “No.” |
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Fatigue |
Unusual tiredness, lack of energy (not related to depression, insomnia, thyroid dysfunction, or other known causes or conditions you already have). If you received a COVID-19 and/or flu vaccination in the last 48 hours and are experiencing mild fatigue that only began after vaccination, select “No.” |
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Sore throat |
Painful or difficulty swallowing (not related to post-nasal drip, acid reflux, or other known causes or conditions you already have). |
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Runny or stuffy/congested nose |
Not related to seasonal allergies, being outside in cold weather, or other known causes or conditions you already have. |
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Headache |
New, unusual, long-lasting (not related to tension-type headaches, chronic migraines, or other known causes or conditions you already have. If you received a COVID-19 and/or flu vaccination in the last 48 hours and are experiencing a headache that only began after vaccination, select “No.” |
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Nausea, vomiting and/or diarrhea |
Not related to irritable bowel syndrome, anxiety, menstrual cramps, or other known causes or conditions you already have. |
- Have you been told you that you should currently be quarantining, isolating, staying at home, or not attending a highest risk setting (e.g., LTCH or RH)?
Could include being told by a doctor, health care provider, public health unit, federal border agent, or other government authority.
- In the last 10 days (regardless of whether you are currently self-isolating or not), have you been identified as a “close contact”* of someone (regardless of whether you live with them or not) who has tested positive for COVID-19 or have symptoms consistent with COVID-19?
Results of Screening Questions:
- If you answered NO to all questions, you may enter the home. You must wear a mask to enter the home and self-monitor for
- If you answered YES to ANY question, please see detailed instructions below.
If you answered YES to any question: you must not enter the home. You should stay home (self-isolate) until you do not have a fever and your symptoms have been improving for at least 24 hours (48 hours for nausea, vomiting, and/or diarrhea). If COVID-19 testing is available, you should get tested, and seek treatment, if eligible. If you test positive for COVID-19, you should not enter the LTCH/RH for at least 10 days after developing symptoms (or date of specimen collection, whichever is earlier/applicable) AND provided you have no fever and other symptoms have been improving for at least 24 hours (or 48 hours if vomiting/diarrhea). General visitors are recommended to postpone non-essential visits to the LTCH/RH for 10 days after developing symptoms, regardless of the results of their COVID-19 test results, to reduce the risk of introduction of any respiratory pathogens into highest
