COVID Positive/Exposure
Please fill out this form if you attended a WaMPS event/Weekly Gathering Space (WGS) and one of these three apply to you: (1) found out you had been exposed at the time or before the event/WGS, (2) have tested positive within 5 days of the event/WGS, or (3) are experiencing symptoms within 5 days of the event/WGS. We are asking for this information so we can prevent the spread of COVID and provide agency to our participants. We care about the safety and comfort of our participants. 

To protect your (the person filling out this form) identity, we have developed these protocols:
  • Only WaMPS president sees this file and has access to the responses (current President is Julia Hinds)
  • We will email information regarding the exposure to the participants in the corresponding event you attended, but we will NOT share any identifying information (name, pronouns, etc.). 
  • We ask for your name and email in case we (the WaMPS President) need to contact you with any questions and to ensure you feel okay with any information we are sharing in emails.
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Your name (please note only the WaMPS President - Julia - will see this and use this to cross check the attendance to deter anyone from filling this out with foul intentions) *
Email (MSU preferred) (please note only the WaMPS President - Julia - will see this and use this only if more information is required) *
What WaMPS event(s)/Weekly Gathering Space (WGS) did you attend? (if attended more than one, please list all that you have attended) *
What day did you test positive for COVID? If just exposed, approximately what day were you exposed? *
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Are you experiencing any COVID symptoms? List of full symptoms can be found here: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html 

If you are experiencing 
- Trouble breathing
- Persistent pain or pressure in the chest
- New confusionInability to wake or stay awake
- Pale, gray, or blue-colored skin, lips, or nail beds, depending on skin tone
Please seek medical attention immediately. 
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If you are experiencing COVID symptoms, what day did the symptoms start? 
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Any additional details you feel comfortable sharing. 
Please acknowledge you have read the below statement:

We appreciate you informing us about your test/exposure as we try to navigate this year. However, if there are any changes/developments to your symptoms (i.e. you develop symptoms), if you do test positive, etc. - please follow MSU guidelines and either (1) fill out this form again with the updates, or (2) email the president (Julia Hinds hindsju1@msu.edu) with the updates.

MSU Guidelines: https://msu.edu/together-we-will/covid19-guidance/  
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Please acknowledge (by checking below) you have read the below statement:

I acknowledge this is a voluntary form used to try to reduce the spread of COVID-19; and I am filling this out for myself honestly and to the best of my abilities. 
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If you have any comments/suggestions/concerns about this reporting process, please give feedback below!
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