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Seaholm Band COVID-19 Screener
Screening guidelines per Oakland County Health Order 2020. Questions in accordance to the Health Order, recommendations from the State, and OSHA publications.
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* Indicates required question
Name
*
Your answer
Do you or have you had any of the following symptoms in the last 24 hours?
Fever of 100.4 degrees or higher
*
YES
NO
Cough (excluding chronic cough due to a known medical reason other than COVID-19)
*
YES
NO
At least 2 of the following symptoms: chills, repeated shaking with muscle pain, headache, sore throat, new loss of taste or smell and/or diarrhea (excluding diarrhea due to known medical reason), and extreme fatigue
*
YES
No
Contact with others?
Are you caring for anyone who has any of the symptoms listed above?
*
YES
NO
Have you been in contact with anyone who has any of the above symptoms or been diagnosed with COVID-19 within the past 14 days?
*
YES
NO
Have you selected "YES" for any of the items above?
*
YES
NO
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