Covid-19 Self Assessment

Please complete the form below prior to reporting for work. 

This form is for your personal use only. It will not be seen or reviewed by LBT personnel.


If you have answered:

  • NO to all questions –  Report to work as scheduled.
  • YES to any questions – See below
    • Contact your healthcare professional.
    • Inform your supervisor or manager immediately.

The purpose of the Coronavirus Self-Checker is to help you make decisions about seeking appropriate medical care. This system is not intended for the diagnosis or treatment of disease or other conditions, including COVID-19. 

The City of Long Beach offers COVID-19 testing. Please visit the City of Long Beach COVID-19 Testing webpage. 

LBT will be temporarily providing rapid COVID-19 testing for employees from 10:00 a.m. to 2:00 p.m. on Tuesdays at LBT1 and Thursdays at LBT2.