COVID Screener

Use this form for daily self screening and report any changes in health.
  • This screener uses the EOHU template which can be found at
  • Date Format: MM slash DD slash YYYY
    (temperature ≥37.8°C)
    Check all that apply
  • If you answered YES to any of the above you will not be granted access and you should wear a mask, immediately go home and self isolate.