Health Check Before Work For Staff

Are you feeling well today? *




Since your last day of work, or last visit here, have YOU had any of these symptoms? *
  • Fever or chills
  • Cough (not due to allergies)
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose(not due to allergies)
  • Nausea or vomiting
  • Diarrhea



Has someone in your home or someone you have had close contact with (within 6 feet for more than 10 minutes), exhibited any of these symptoms: *
  • Fever or chills
  • Cough (not due to allergies)
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose(not due to allergies)
  • Nausea or vomiting
  • Diarrhea



In the last 30 days, have you, someone in your home, or someone you have had close contact with (within 6 feet for more than 10 minutes) tested positive for COVID-19? *




You answered "YES". Do not enter the facility, proceed to your vehicle, and contact your supervisor and/or HR (Tina Pacific - 949-246-7453) for additional instructions. Please click the 'Submit' button.

It is District Policy that you are required to wear your mask and socially distance at all times. If you do not have a mask, one will be provided for you.

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