COVID-19 Contact and Symptom Tracking

*Please note: This form is only to be completed if you are actively experiencing any COVID-like symptoms.*


**Please note that this form and database comports with all appropriate California rules and regulations dealing with privacy and protected health information. If you have any questions regarding the security of your information, you can email risk@westmont.edu.**

Temp 100.4 or greater?*

Is your current body temperature 100.4 degrees or higher?

Do you have any COVID-19 symptoms?*

COVID-19 symptoms include the following: Fever or chills 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

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