This survey should be used to register symptoms of COVID-19-like illness or high-risk exposure. If you have already submitted a survey in the past 48 hours, please do not submit an additional survey.

Please do not use this form to record your daily symptoms. Symptoms monitoring form is sent separately once your assessment is completed by employee health service.

For more information and resources, please visit:

https://www.mountsinai.org/about/covid19/staff-resources/employee-health

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