Employee Pre-Shift COVID-19 Self-Health Check and Certification
Each morning, Holy Cross employees should exhibit their commitment to shared responsibility by conducting a self-health assessment to ensure that they do not pose a risk of transmitting COVID-19 to other community members.  Before coming to work on campus, employees should check their temperature, screen themselves for other symptoms of COVID-19, confirm that they have not been identified by a public health or medical provider as a “close contact” of someone with COVID-19, and confirm that they have not been directed to self-quarantine. The following customized survey tool is designed to streamline that process and employees are encouraged to use it.

Disclaimer: This survey is a tool based on generally-available information related to the coronavirus (COVID-19). It is not intended to provide official medical advice, treatment or diagnosis.  If you have specific medical concerns, please contact a doctor or other healthcare professional.

Sign in to Google to save your progress. Learn more
Next
Clear form
This form was created inside of College of the Holy Cross.

Does this form look suspicious? Report