COVID-19 Employer Screening Tool

Welcome to Sparrow Occupational Health’s Covid-19 Symptom Screening

This Screening Tool is offered for informational purposes to help you check for COVID-19 symptoms as outlined by the Centers for Disease Control. The guidance you receive depends on the accuracy of the information you provide as well as current guidelines for identifying symptoms associated with COVID-19. Based on your self-reported answers, the tool will provide a response to be used by your employer. Please take the survey and provide the response to your employer according to your employer’s instructions.

This is not a substitute for professional medical advice, diagnosis, or treatment of disease or other conditions, including COVID-19. Always consult a medical professional for serious symptoms or emergencies.

By clicking “I AGREE” below, you indicate that you have reviewed and agree to the above disclaimer and our terms of use, available here:

SPARROW OCCUPTIONAL HEALTH COVID-19 SYMPTOM SCREENING TOOL TERMS OF USE

Have you had any signs or symptoms of a fever in the past 24 hours such as chills, sweats, felt "feverish" or had a temperature that is elevated for you/100.0F or greater? Yes No

Do you have any of the following symptoms?

Cough
Shortness of Breath or Chest Tightness
Sore Throat
Nasal Congestion/Runny Nose
Myalgia (Body Aches)
Loss of Taste and/or Smell
Diarrhea
Nausea
Vomiting
Fever/Chills/Sweats

Yes No

Have you traveled internationally or outside of state in the last 14 days? Or, have you had any close contact in the last 14 days with someone with a diagnosis of COVID-19? Yes No