Return to JMU Survey

Return to JMU Survey

Return to JMU Daily Health Check
1. Indicate if you are a student or employee. *

Student Faculty/Staff Affiliate Other (visitor, contractor)
Risk
2. Enter your full JMU email address *
3. Do you have a fever (temperature above 100.4 degrees Fahrenheit)? *

Yes No
4. Do you have any of the following symptoms? (Do not report symptoms due to an existing known health condition such as seasonal allergies or chronic lung disease)

Cough, Trouble breathing/feeling short of breath, Chills, Significant body aches, Unusual headache, Loss of the ability to smell or taste, Sore throat
4. Do you have any of the following symptoms? *

Yes No
5. Have you been instructed by a medical professional to either quarantine for 14 days or be in isolation for 10 days at any time during the last two weeks? (Do not include quarantine for elective surgery) *

Yes No
6. Within the past 14 days, have you been in direct, close contact with someone who has tested positive for COVID-19? *

Yes No
Date

Year Month Day
Date Hour Minutes AM/PM Option
You will receive an email within the next few minutes with the results of this Return to JMU survey. More information will be included in the email if you have symptoms.
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