COVID-19 Daily Self-Check Checklist

Review this COVID-19 Daily Self-Check Checklist every day before reporting to work.

If you reply YES to any of the below questions, stay home and follow the steps as outlined.

  • Step 1: Contact your healthcare provider
  • Step 2: Contact your manager to notify them of your absence or to discuss options to work remotely
  • Step 3: Report your illness to Goucher

If you begin displaying symptoms consistent with COVID-19 during the workday, immediately isolate yourself and notify your manager that you need to leave. Go home and then complete steps 1 and 3 as outlined above.

Daily Self-Check Questions

  • Do you have a fever (temperature over 100.3◦ F) without having taken any fever reducing medications? □ Yes  □ No

  • Have your lost your sense of smell or taste? □ Yes  □ No

  • Are you experiencing any muscle aches? □ Yes  □ No

  • Do you have a sore throat? □ Yes  □ No

  • Do you have a cough? □ Yes  □ No

  • Are you experiencing shortness of breath? □ Yes  □ No

  • Do you have chills? □ Yes  □ No

  • Do you have a headache? □ Yes  □ No

  • Have you experienced any gastrointestinal symptoms such as nausea/vomiting, diarrhea, or loss of appetite? □ Yes  □ No

  • Have you or anyone you have been in close contact with been diagnosed with COVID-19, or been placed on quarantine for possible contact with COVID-19? □ Yes  □ No

  • Have you been asked or advised to self-isolate or quarantine by a medical professional or local public health official? □ Yes  □ No

If you replied YES to any of these questions, stay home and follow the steps outlined above.