Self Check Certification Online Form: Self Check CertificationStudent Name* First Last Fever, cough or muscle aches?* Yes NoSore throat, runny nose and/or loss of taste or smell?* Yes NoNausea, vomiting, and/or diarrhea?* Yes NoShortness of breath and/or headache?* Yes NoClose contact or cared for someone with COVID-19?* Yes NoThis field is hidden when viewing the formSymptoms Calculation (DON'T REMOVE)Your current temperature:*NameThis field is for validation purposes and should be left unchanged.