COVID-19 screening questions used by federal corrections

Viral respiratory screening questions
(Including COVID-19)

1. Are you experiencing any unexplained new or worsening symptoms?
• Yes
• No

Symptoms:
• Cough
• Feeling feverish
• Shortness of breath or difficulty breathing
• Sore throat
• Runny nose
• Sneezing
• Chills
• Fatigue or weakness
• Muscle or body aches
• Loss of smell or taste
• Headache
• Abdominal pain, diarrhea and vomiting


2. Have you tested positive or been presumed to be positive for COVID-19 in the past 5 days?
• Yes
• No


3. Has a member of your household tested positive for COVID-19 or have you had a high-risk COVID-19 exposure in the last 7 days?
• Yes
• No



Staff/contractors only

4. If you were required to self-test prior to your shift today (for example, during an EOC declared outbreak), was the test result positive?
• Yes
• No

Visitors

Questions 1 to 3:

• If yes to any, do not enter the site.
• If no to all, you may enter the site.

Staff/Contractor

Questions 1 to 4:

• If yes to any, contact your manager and follow the applicable CSC COVID-19 algorithm or other guidance document.
• If no to all, you may enter the site.