Daily COVID-19 Health Screening: DO Office/PPS/Tech

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Please complete the following health survey each day.

We are required by NYS to conduct this mandatory health screening each day with all our employees. The information will be collected by Human Resources and your supervisor and kept confidential.

If you need COVID -19 testing information or resources, or if you have questions, please contact Enrique Catalan, Assistant Superintendent.

Email *

Have you had COVID-19 symptoms in the past 14 days? • Fever (100.0° or higher) or chills • Shortness of breath or difficulty breathing • Muscle or body aches • New loss of taste or smell • Sore throat • Nausea or vomiting • Diarrhea * *

Yes

Have you had a positive COVID-19 test in the past 14 days? * *

Yes

Have you had close contact within 6 feet of someone who has tested positive COVID-19 cases in the past 14 days? * *

Yes

Have you traveled to a quarantine state in the last 14 days? * *

Yes

Comments

If you answer yes to any of the above questions, please contact your supervisor immediately and stay home. *

By checking this box I am confirming the above information is accurate

Required

Send me a copy of my responses.