People | Performance | Profit
COVID-19 RISK ASSESSMENT QUESTIONNAIRE Criteria
Response Yes
No
a. Elevated body temperature
b. Chills
c. Cough
d. Sore throat
e. Shortness of breath
f. Body pains
1. Have you returned from international travel within the last 14 days? 2. If yes to the above, which country / countries did you visit?
3. Have you been in close contact with someone who has been diagnosed with or is currently being tested for Covid19? 4. Do you have any of the below symptoms?
g. Diarrhea