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
Clear form
This form was created inside of College of the Holy Cross. Report Abuse