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COVID-19 Screening Questionnaire
Have you had any of the following in the last 14 days:
Fever (100.4 or higher), chills, sore throat, cough, shortness of breath, unexplained fatigue or other flu-like symptoms?
Have you had unexplained diarrhea, abdominal pain, or nausea/vomiting in the past 14 days?
Have you had a recent sudden loss of taste or smell?
If you have had contact with a COVID positive patient, or someone with suspected COVID, were you protected by wearing the proper PPE?
If you answer "yes" to any of the questions above, you should refrain from coming to campus until you are 3 days with no fever or your symptoms improve or you are cleared by a medical provider.
Exception: those who work in the medical/emergency services field who answer “yes” to questions 4 and 5 are permitted to come to campus unless they are experiencing symptoms.
If you think or know you have/had COVID-19, you should refrain from coming to campus until you are 3 days with no fever, and your symptoms have improved, and it has been 10 days since your symptoms first appeared. If you believe you may have COVID-19, the College strongly encourages you get tested.
Please visit the CDC "Symptoms" page (https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html) to complete the self-checker or follow up with the Office of Equity and Compliance with any questions/concerns.
Note: The information collected on this form will be used to determine only whether you may be infected with COVID-19. The information on this form will be maintained as confidential.
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