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Symptoms Checklist

Daily Check

  • If you answer Yes to any of these questions, stay at home and contact your school.

  • Do you have any of the following symptoms in the past 24 hours that are not caused by another condition?

  • For families. does your child have any of the following symptoms in the past 24 hours not caused by another condition?

  • For anyone returning from a break or for new staff: Have they had any of the following symptoms in the past 3 days?


  • Fever 100.4⁰F / 38°C or higher

  • Cough

  • Shortness of Breath or Difficulty Breathing

  • Chills

  • Fatigue

  • Muscle Pain or Body Aches

  • Headache

  • New Loss of Taste or Smell

  • Sore Throat

  • Congestion or Runny nose

  • Nausea or Vomiting

  • Diarrhea

  • Other signs of new illness that are unrelated to a preexisting condition (such as seasonal allergies)

  • Have you been in close contact with anyone with confirmed COVID-19? Close contact means being within 6 feet (2 meters) of an infected person for 15 minutes or more.

  • Have you had a positive COVID-19 test for active virus in the past 10 days?

  • Within the past 14 days, has a public health or medical professional told you to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19?

  • It is important to seek medical attention immediately if any of your symptoms become severe.

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.