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Employee Daily COVID-19 Assessment

Employee Daily COVID-19 Symptom Assessment

To prevent the spread of Coronavirus and reduce the potential risk of exposure to co-workers and customers, all employees are required to complete and submit this daily symptom assessment before entering the workplace. If you do not have access to internet outside of work, you are required to complete this COVID-19 symptom assessment within 15 minutes of entering your assigned work location.

Please answer each question truthfully and to the best of your ability. This assessment is the first step for us to take precautionary measures to help you and fellow co-workers and customers.
2. Do you have ANY ONE of these symptoms that are consistent with COVID19?
  • Fever (over 38 degrees C) or feeling feverish (chills, sweating)
  • New cough
  • Difficulty breathing
  • Sore throat
  • Muscle aches or body aches
  • Vomiting
  • Diarrhea
  • New loss of taste or smell
Or have you been in prolonged close contact at home/work, or staying in the same household with someone who has been ordered by a medical professional to be tested for Coronavirus, or quarantine or isolate themselves because of Coronavirus? *This question is required.
3. A YES answer to question 2 requires you, the employee, to immediately stay at home for 14 days and separate yourself.  You are NOT to enter the JJS Castleson campus or property. Employees are restricted from physically coming to work. Immediately contact Ms. Cora and your supervisor, and email

Do you understand these instructions? *This question is required.
4. In the past 14 days, have you traveled outside of Negros Occidental?

A YES answer to this question requires you, the employee, to immediately contact for further guidance.  *This question is required.