NEW CASTLE COUNTY SHERIFF SALE
SCREENING TOOL - COVID-19
All individuals must complete the following screening questionnaire and adhere to the following guidelines
related thereto:
➢ If an individual respond “YES” to any of the following questions, he/she may not enter the facility and/or
must exit the facility immediately
1. In the last 14 days, have you been in close, personal contact for prolonged periods (a few minutes or more),
without proper medical PPE, to someone diagnosed with the coronavirus? Yes ____ No ____
2. In the last 14 days, have you been in close, personal contact for prolonged periods (a few minutes or more),
without proper medical PPE, to someone recently tested for the coronavirus because they are symptomatic,
and that is still awaiting results? Yes ____ No ____
3. In the last 7 days, have you experienced any combination (which means at least two) of the following symptoms
which are either out of the ordinary for you to experience and/or undiagnosed by a medical professional as
being associated with a non-coronavirus affliction: fever of 99.5 degrees Fahrenheit, shortness of breath, dry
cough, sore throat or severe full body muscle aches? Yes ____ No ____
_____________________________ _______________________________
Signature Date
_____________________________ _______________________________
Printed Name Phone Number or Email
Close, personal contact is defined as:
a) being within approximately 6 feet of a COVID-19 case for a prolonged period of time (a period of a few minutes); close
contact can occur while caring for, living with, visiting, or sharing a healthcare waiting area or room with a COVID-19 case
– or –
b) having direct contact with infectious secretions of a COVID-19 case (e.g., being coughed on)
