Summary

This document contains health screening questions related to COVID-19, asking about recent symptoms and close contact. It is designed to be used to check for potential exposure or illness.

Full Transcript

Health Screening Questions You must answer the following questions before starting work every day. 1. Within the past 10 days, have you been diagnosed or tested positive for COVID-19? 2. Do you live in the same household with, or have you had close contact* with, someone who i...

Health Screening Questions You must answer the following questions before starting work every day. 1. Within the past 10 days, have you been diagnosed or tested positive for COVID-19? 2. Do you live in the same household with, or have you had close contact* with, someone who in the past 14 days has been in isolation for, o  r tested positive for, COVID-19 ? *close contact means (for 48 hours before their symptoms began) the person:  lived or stayed overnight with you was your intimate sex partner took care of you, or you of them was within 6 feet of you for more than 10 minutes without wearing a mask e  xposed you to their body fluids or secretions (e.g., coughed or sneezed on you) while you were not wearing a mask, gown and gloves 3. Have you had any of the following in the last 24 hours? cough fatigue shortness of breath or headache difficulty breathing sore throat fever of 100.4° or greater persistent runny nose chills diarrhea muscle or body aches new loss of taste or smell If you have any of the above symptoms or said yes to any of the above questions, please contact your supervisor via email for direction.  sf.gov/CheckYourHealth

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