CDC Facilities COVID-19 Screening
As an alternative to the tool below, you can print and complete the CDC Facilities COVID-19 Screening pdf icon[PDF – 198 KB] and show the completed form to security at the facility entrance.
Have you experienced any of the following symptoms in the past 48 hours:
- fever or chills
- cough
- shortness of breath or difficulty breathing
- fatigue
- muscle or body aches
- headache
- new loss of taste or smell
- sore throat
- congestion or runny nose
- nausea or vomiting
- diarrhea
CDC Facilities COVID-19 Screening
Access To CDC Facilities Not Approved - Further Instructions
CDC Notice Regarding CDC Facilities COVID-19 Screening
This tool was developed by the Centers for Disease Control and Prevention (CDC) for use by CDC. The tool, however, is in the public domain and may be recreated, utilized, and adapted by the public at will. The CDC name and logo may not be utilized if the tool is recreated for use by an external entity. The tool is provided “as-is”; CDC accepts no liability for the use by an external entity. The external entity assumes all risks and liabilities associated with the recreation, utilization and adaption of the tool for external entity’s use. CDC will not provide any support for the tool if recreated by an external entity. CDC, with regard to this tool, makes no other representations, warranties, express or implied, and hereby disclaims all implied representation and warranties, including any warranty of merchantability and warranty of fitness for a particular purpose.