COVID-19 Symptom Monitor COVID-19 Symptom Monitor Note: we do not save or collect any data from this form.What is your role relative to UWM?* Student Employee Contractor Visitor Do you have any symptoms of:* Fever (temperature at or above 100.4°F/38°C) Shortness of breath or difficulty breathing Cough that is unexplained Fatigue that is unexplained Nausea or vomiting Diarrhea (multiple episodes of loose or watery stools) Chills with or without shaking Muscle pain that is unexplained Runny nose or nasal congestion (new or worsening from baseline) Sore throat Loss of taste or smell Headache that is unexplained (different than typical headaches) Yes No Guidance for Students Do not come to campus. If you currently live in a university residence hall, remain there and in your room. Contact Norris Health Center at 414-229-4716 or your primary care provider to review your symptoms and schedule a COVID-19 test if indicated. Remain in your residence hall room or away from campus until your test result is negative or a healthcare provider approves going to campus. Refer to additional guidance from the Centers for Disease Control and Prevention. Guidance for Employees Do not come to the workplace. Contact your healthcare provider for a COVID-19 test or approval to be at the workplace. Notify your supervisor you will be away from on-site work. For leave resources and/or for sharing medical information, contact your HR Business Partner (HRBP) or Prep, who as needed, may contact an appropriate Central HR Specialist. Refer to this additional guidance from the Centers for Disease Control and Prevention. Guidance for Contractors Do not come to UW-Milwaukee facilities. Contact your healthcare provider for a COVID-19 test or approval to be on campus. Do not return to the campus workplace until your test result is negative or your healthcare provider advises that you may return to work. Refer to this additional guidance from the Centers for Disease Control and Prevention. Guidance for Visitors Do not come to campus. Contact your healthcare provider for a COVID-19 test or approval to be on campus. Do not come to campus until your test result is negative or your healthcare provider advises that you are safe to go to campus. Refer to this additional guidance from the Centers for Disease Control and Prevention. Start Over Have you had close contact in the last 14 days with someone diagnosed with COVID-19?*Close contact is considered as being within 6 feet of another person for 15 minutes or longer. If your close contact is due to providing clinical care for COVID-positive patients while following health system appropriate protocols, answer No. Yes No Guidance for Students You may come to campus. You must wear a mask at all times for 10 days from last date of close contact. You must monitor for symptoms until 10 days after last close contact. You are advised to get tested after at least 5 full days from the last instance of close contact with infected person. Note: The date of the last instance of close contact is considered Day 0. If you have been in contact with public health officials, such as contact tracers, follow their guidance. Refer to additional guidance from the Wisconsin Department of Health Services and the Centers for Disease Control and Prevention. Guidance for Employees You may come to the workplace. You must wear a mask at all times for 10 days from last date of close contact. You must monitor for symptoms until 10 days after last close contact. You are advised to get tested after at least 5 full days from the last instance of close contact with infected person. Note: The date of the last instance of close contact is considered Day 0. If you have been in contact with public health officials, such as contact tracers, follow their guidance. Refer to additional guidance from the Wisconsin Department of Health Services and the Centers for Disease Control and Prevention. Guidance for Contractors You may come to campus. You must wear a mask at all times for 10 days from last date of close contact. You must monitor for symptoms until 10 days after last close contact. You are advised to get tested after at least 5 full days from the last instance of close contact with infected person. Note: The date of the last instance of close contact is considered Day 0. If you have been in contact with public health officials, such as contact tracers, follow their guidance. Refer to additional guidance from the Wisconsin Department of Health Services and the Centers for Disease Control and Prevention. Guidance for Visitors You may come to campus. You must wear a mask at all times for 10 days from last date of close contact. You must monitor for symptoms until 10 days after last close contact. You are advised to get tested after at least 5 full days from the last instance of close contact with infected person. Note: The date of the last instance of close contact is considered Day 0. If you have been in contact with public health officials, such as contact tracers, follow their guidance. Refer to additional guidance from the Wisconsin Department of Health Services and the Centers for Disease Control and Prevention. Start Over Have you had a positive COVID-19 test or been diagnosed with COVID-19 in the past 14 days?* Yes No Guidance for Students Do not come to campus until your isolation period is over. If you currently live in a university residence hall, remain in your designated isolation space until your isolation period is over. Follow the instructions of the provider who you received a COVID-19 test or diagnosis from in terms of returning to campus. Contact the Dean of Students Office at 414-229-4632 if you have had contact with anyone or any location on campus. Refer to this additional guidance from the Centers for Disease Control and Prevention. Guidance for Employees Do not come to the workplace until your isolation period is over. Follow the instructions of the provider who you received the test or diagnosis from in terms of returning to campus. Notify your supervisor you will be away from on-site work. For leave resources and/or for sharing medical information, contact your HR Business Partner (HRBP) or Prep, who as needed, may contact an appropriate Central HR Specialist. Refer to this additional guidance from the Centers for Disease Control and Prevention. Guidance for Contractors Do not come to campus until your isolation period is over. Follow the instructions of the provider who you received a COVID-19 test or diagnosis from in regard to returning to campus. Notify your employer and UWM liaison you will be away from on-site work. Refer to this additional guidance from the Centers for Disease Control and Prevention. Guidance for Visitors Do not come to campus until your isolation period is over. Follow the instructions of the provider who you received a COVID-19 test or diagnosis from in regard to returning to campus. Notify your UWM contact person if you were on campus 48 hours prior to your positive test or symptoms. Refer to this additional guidance from the Centers for Disease Control and Prevention. Start Over Thank You! UW-Milwaukee Panthers are playing a part in keeping our community safe—including you. Please answer these questions every day before you plan to come to campus. Together we can keep our campus community safe: Maintain physical distancing wherever possible. Face coverings are required to be worn in all campus indoor public spaces, including classrooms, and outside when physical distancing is not possible. Accommodations will be made for those unable to do so for medical reasons. Wash your hands often. Panthers protect Panthers! If you need additional resources or help, please reach out to: Norris Health Center at 414-229-4716 Dean of Students Office at 414-229-4632 Thank You! UW-Milwaukee Panthers are playing a part in keeping our community safe—including you. Please answer these questions every day before you plan to come to the workplace. Together we can keep our campus community safe: Maintain physical distancing wherever possible. Face coverings are required to be worn in all campus indoor public spaces, including classrooms, and outside when physical distancing is not possible. Accommodations will be made for those unable to do so for medical reasons. Wash your hands often. If you need additional resources or help, please reach out to Human Resources at hr-covid19@uwm.eduThank You! Everyone is playing a part in keeping our community safe—including you. Please answer these questions every day before you plan to come to campus. Together we can keep our campus community safe: Maintain physical distancing wherever possible. Face coverings are required to be worn in all campus indoor public spaces, including classrooms, and outside when physical distancing is not possible. Accommodations will be made for those unable to do so for medical reasons. Wash your hands often. Thank You! Everyone is playing a part in keeping our community safe—including you. Please answer these questions every day before you plan to come to campus. Together we can keep our campus community safe: Maintain physical distancing wherever possible. Face coverings are required to be worn in all campus indoor public spaces, including classrooms, and outside when physical distancing is not possible. Accommodations will be made for those unable to do so for medical reasons. Wash your hands often. Start Over NameThis field is for validation purposes and should be left unchanged.