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COVID-19 Daily Health Screening - Guests and Vendors
COVID-19 Daily Health Screening - Guests/Vendors
Completion of this survey is required to determine eligibility of entering Marymount Manhattan College.
Full Name (First and Last)
*
Email
*
Phone Number
*
Visitor Type
*
Guest
Vendor
Student
Faculty
Staff
Company Name
*
Address
*
What is the purpose of your visit to MMC?
*
Are you fully vaccinated against COVID-19?
ÔÇ£Fully vaccinatedÔÇØ means that you have completed all doses of an FDA-authorized COVID-19 vaccine and that 14 days have passed since the final dose was received.
*
Yes
No
Have you tested POSITIVE for COVID-19 in the past 10 days?
(Ha dado POSITIVO para COVID-19 en los ultimos 10 dias?)
*
Yes
No
Have you shown any symptoms of COVID-19 in the past 10 days?
(Ha mostrado cualesquier sintomas de COVID-19 en los ultimos 10 dias?)
*
Yes
No
Have you been in contact with anyone who has tested positive for or shown symptoms of COVID-19 in the past 10 days?
(Ha estado en contacto con alguien quien ha dado positivo para COVID-19 o ha mostrado sintomas de COVID-19 en los ultimos 10 dias?)
*
Yes
No
