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PCA&D Health Monitoring Checklist
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Are you a...?
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Student
Faculty
Staff
Guest/Vendor
In the past 14 days, have you tested positive for COVID-19?
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Yes
No
In the past 14 days, have you knowingly been in close contact with anyone who has tested positive for COVID-19 or who has or had symptoms of COVID-19?
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Yes
No
In the past 14 days, have you experienced any of the following possible symptoms of COVID-19?
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Fever over 100.4 degrees
Cough
Shortness of breath or difficulty breathing
Fatigue
Muscle or body aches
Headache
New loss of taste or smell
Sore throat
Congestion or runny nose
Nausea or vomiting
Diarrhea
None of the above
Required
Do you have, and do you agree to wear, a face covering while on PCA&D campus?
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Yes
No
Do you agree to abide by CDC Social Distancing guidelines while on PCA&D campus?
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Yes
No
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