COVID-19 Self Assessment
Mandatory Self Assessment
*Staff/visitors who have an existing health condition identified by a health care provider that gives them the symptoms should not answer YES,
unless the symptom is new, different or getting worse. Look for changes from your normal symptoms.
**If the staff/visitor has a mild headache, tiredness, sore muscles or joints within 48 hours after getting a COVID-19 vaccine, they should select
“No” and wear a medical maskwhen at child care/day camp/school. If symptoms last longer than 48 hours or worsen, they are to stay home,
self-isolate and get tested.
***If the household member received a COVID-19 vaccination in the last 48 hours and is experiencing mild headache, fatigue, muscle aches
and/or joint pain that only began after vaccination, select “No.”
