Self Check Certification Online Form: Self Check CertificationStudent Name* First Last Fever, cough or muscle aches?*YesNoSore throat, runny nose and/or loss of taste or smell?*YesNoNausea, vomiting, and/or diarrhea?*YesNoShortness of breath and/or headache?*YesNoClose contact or cared for someone with COVID-19?*YesNoSymptoms Calculation (DON'T REMOVE)Your current temperature:*EmailThis field is for validation purposes and should be left unchanged.