Screening Questions for All Persons

Do you have one or more of the following symptoms?

○ Yes

○ No

Fever and/or chills

Temperature of 38 degrees Celsius/100 degrees Fahrenheit or higher.

Cough or barking cough (croup)

Not related to asthma, post-infectious reactive airways, COPD, or other known causes or conditions you already have.

Shortness of breath

Not related to asthma or other known causes or conditions you already have.

Decrease or loss of smell or taste

Not related to seasonal allergies, neurological disorders, or other known causes or conditions you already have.

Muscle aches/joint pain

Unusual, long-lasting (not related to a sudden injury, fibromyalgia, or other known causes or conditions you already have).

If you received a COVID-19 and/or flu vaccination in the last 48 hours and are experiencing mild muscle aches/joint pain that only began after vaccination, select “No.”

Fatigue

Unusual tiredness, lack of energy (not related to depression, insomnia, thyroid dysfunction, or other known causes or conditions you already have).

If you received a COVID-19 and/or flu vaccination in the last 48 hours and are experiencing mild fatigue that only began after vaccination, select “No.”

Sore throat

Painful or difficulty swallowing (not related to post-nasal drip, acid reflux, or other known causes or conditions you already have).

Runny or stuffy/congested nose

Not related to seasonal allergies, being outside in cold weather, or other known causes or conditions you already have.

Headache

New, unusual, long-lasting (not related to tension-type headaches, chronic migraines, or other known causes or conditions you already have.

If you received a COVID-19 and/or flu vaccination in the last 48 hours and are experiencing a headache that only began after vaccination, select “No.”

Nausea, vomiting and/or diarrhea

Not related to irritable bowel syndrome, anxiety, menstrual cramps, or other known causes or conditions you already have.

 

  1. Have you been told you that you should currently be quarantining, isolating, staying at home, or not attending a highest risk setting (e.g., LTCH or RH)?

Could include being told by a doctor, health care provider, public health unit, federal border agent, or other government authority.

 

  1. In the last 10 days (regardless of whether you are currently self-isolating or not), have you been identified as a “close contact”* of someone (regardless of whether you live with them or not) who has tested positive for COVID-19 or have symptoms consistent with COVID-19?

 

Results of Screening Questions:

  • If you answered NO to all questions, you may enter the home. You must wear a mask to enter the home and self-monitor for
  • If you answered YES to ANY question, please see detailed instructions below.

If you answered YES to any question: you must not enter the home. You should stay home (self-isolate) until you do not have a fever and your symptoms have been improving for at least 24 hours (48 hours for nausea, vomiting, and/or diarrhea). If COVID-19 testing is available, you should get tested, and seek treatment, if eligible. If you test positive for COVID-19, you should not enter the LTCH/RH for at least 10 days after developing symptoms (or date of specimen collection, whichever is earlier/applicable) AND provided you have no fever and other symptoms have been improving for at least 24 hours (or 48 hours if vomiting/diarrhea). General visitors are recommended to postpone non-essential visits to the LTCH/RH for 10 days after developing symptoms, regardless of the results of their COVID-19 test results, to reduce the risk of introduction of any respiratory pathogens into highest

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