COVID-19 Daily Self-Assessment

1. Do you have, or have you had within the last 14 days any of the following symptoms?

• Fever or chills OR
• Cough OR
• Shortness of breath

AND

• Fatigue OR
• Muscle or body aches OR
• Headache OR
• New loss of taste or smell OR
• Sore throat OR
• Congestion or runny nose OR
• Nausea or vomiting OR
• Diarrhea

2. Have you been in contact, without using appropriate personal protective equipment (PPE), within the last 14 days with someone who has been diagnosed with COVID-19?

3. Have you been in contact, without using appropriate personal protective equipment (PPE), within the last 14 days with someone who has any symptoms of COVID-19?

If you answer YES to any one of these questions:

• Do not leave your home/living space.
• Faculty and Staff: Call your health professional for guidance.
• Students: Call the Student Health Center at (317) 955-6154 to speak to a health professional.
• Notify your supervisor, faculty member or coach, as applicable that you will be absent for the day. Continue to update them as the situation warrants.
• Do not return to campus activities until instructed by your health professional.