Health Self-Assessment Updated on: June 17, 2020 Austin College employees should self-assess to determine if they should report to work. If you have been working on campus please complete the assessment now. Due to the severity and highly infectious nature of COVID-19, employees should take appropriate action based on results of this assessment. This self-assessment tool is not meant to take the place of talking with your health care professional or to diagnose or treat conditions. Name* First Last Austin College Email* EXPOSUREHave you been within six feet of or had direct contact with someone with a lab-confirmed or suspected case of COVID-19 in the past 14 days?*YesNoIf you answered “YES,” DO NOT COME TO WORK.SYMPTOMSDo you have any COVID-19 symptoms? (Fever, cough, shortness of breath, difficulty breathing, chills, muscle aches, sore throat, headache, diarrhea, loss of taste or smell) Health conditions that produce COVID-19-like symptoms, but are ongoing or chronic (seasonal allergies, etc) should be disregarded*YesNoIf yes, what symptoms do you have? Fever (Please check your temperature daily before reporting to work) New cough New shortness of breath or difficulty breathing New chills New muscle aches Sore throat Headache Diarrhea New loss of taste or smell If you think you have been exposed or have any of these symptoms, speak to your health care professional and call Melanie Oelfke (903.813.2433) or Keith Larey (903.813.2435) in Human Resources. Stay home and DO NOT COME TO WORK until at least 10 days after symptoms began and 72 hours after you are free of fever and symptoms of respiratory infection (not allergies or asthma), without the use of fever-reducing medications. Guidelines for returning to work may be modified if you have no fever, improved symptoms, and two negative tests results in a row, at least 24 hours apart.SEVERE SYMPTOMSAre you struggling to breathe or fighting for breath even while inactive or when resting?*YesNoDo you feel as though you might collapse every time you stand or sit up?*YesNoIf you have severe symptoms, CALL 911. DO NOT COME TO WORK. REMINDER: Employees should not discuss health-related information with supervisors.