COVID-19 Questionnaire

Caregiver Questionnaire

Step 1 of 3 - Caregiver Screening

  • COVID-19 Screening

    Perform self-check screening and client screening every day of your shift, even if you are a live-in caregiver. This screening should be performed before starting the shift.
  • Before providing care for an individual in the home, ask yourself


  • If you answered YES to any of the above questions, please call your supervisor immediately and NOT go to work.