HEALTH ASSESSMENT FOR VISITING VENDORS TO ROWAN UNIVERSITY
To aid in the monitoring of the health of the Rowan University population, you must submit this screening regarding your wellness before proceeding with your business on our campus. Please complete this form to answer basic questions regarding potential symptoms of COVID-19.
Your Name *
Company Name *
Date of Visit *
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Your Phone # *
Your Email *
Do you have a fever of 100.4ºF or greater? *
Do you have any of the following symptoms not associated with existing medical conditions: shortness of breath, new cough, excessive chills, severe muscle pain, loss of taste or smell, or new profound headache? *
Within the past 2 weeks have you traveled to or from a high risk COVID-19 state or country for personal reasons, other than work or school, or have you been exposed to anyone known to be positive for COVID-19? (This excludes healthcare workers exposed while wearing recommended PPE.) *
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