In the past 24 hours, have you experienced:
Subjective fever (felt feverish)
If you answer “yes” to any of the symptoms listed above, or your temperature is 100.4°F or higher, please do
not go to into work. Self-isolate at home and contact your primary care physician’s office for direction.
• You should isolate at home for a minimum of 7 days since symptoms first appear.
• You must also have 3 days without fevers and improvement in respiratory symptoms.
In the past 14 days, have you:
Had close contact with an individual diagnosed with COVID-19?
Traveled via airplane internationally or domestically?
If you answer “yes” to either of these questions, please do not go into work. Self-quarantine at home for 14