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COVID-19 Screening: BSN Faculty and Student
You will be required to complete a screening questionnaire EVERY DAY before arriving on campus. IF you answer "YES" to any question, you must not report to campus. If you are not allowed on campus, please contact your instructor right away. Once on campus, your temperature will be taken.
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Email
*
Your email
Do you have a fever (100F or higher) or fever-like symptoms (chills, sweats) in the last 24 hours?
*
Yes
No
Does anyone in your household have a fever or respiratory like symptoms?
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Yes
No
Do you have any of the following symptoms: cough, shortness of breath or chest tightness, sore throat, nasal congestion/ runny nose, body aches, loss of taste and/or smell, diarrhea, nausea, vomiting, or fever/ chills/ sweats?
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Yes
No
Have you tested positive for COVID-19 or been exposed who anyone who has tested positive?
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Yes
No
Has anyone in the household tested positive for COVID-19 or exposed to anyone who has tested positive?
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Yes
No
I will follow social distancing rules. If these rules are not followed, I understand disciplinary action may occur.
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Yes
No
A copy of your responses will be emailed to the address you provided.
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