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Southern Adventist University

Guest Health Survey

In order to protect members of the Southern Adventist University community, we are requiring campus visitors to wear face masks, have their temperature checked for fever at a temperature check station, and fill out the survey below. To gather the most relevant data, please fill out the health survey no more than 12 hours before arriving on campus. Please have each member of your party fill out a separate form. Thank you.

Guest Information ( = Required Fields.)
General Info
Contact
In case we need to communicate with you regarding COVID-19, please provide a valid phone number and email address (optional).
Health Survey
1. Are you having shortness of breath or other breathing difficulties?
2. Do you have a new onset cough (within the past week)?
3. Have you experienced at least two of the following symptoms within the past 48 hours?
  • Fever
  • Chills
  • Muscle pain
  • Sore throat
  • Loss of taste or smell
  • Nausea, vomiting, or diarrhea
4. Are you or have you been in contact with any confirmed COVID-19 positive individuals within the past 14 days?
  • If you've previously answered "yes" and been cleared by the UHC for that exposure please answer "no".
  • Or if you are a nursing student exposed during clinical while in full appropriate PPE, please answer "no".