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RISE Daily Heath Screen
RISE Daily Health Screen
RISE Members are required to complete the Daily Health Screen each day before coming to the Rivier campus.
Name
*
First
Last
Email
*
Do you have a fever of 100 degrees or above?
*
Yes
No
In the last 10 days, have you been in close contact with anyone in your household who recently tested positive for COVID-19?
*
Yes
No
Are you fully vaccinated including eligible booster vaccinations? (you are fully vaccinated two weeks after completion of a two-dose vaccine series such as Pfizer or Moderna or one dose of Johnson & Johnson vaccine. This includes having received a booster vaccine if you are eligible to do so).
*
Yes (If you are fully vaccinated including eligible booster vaccinations, you do not need to quarantine and may attend RISE classes on campus. You must wear a well-fitting mask around others at all times for 10 days. If symptoms develop, stay home and get tested for COVID-19. Even if symptoms do not develop, you should test for COVID-19 on day 5 (day 0 is the day of your last exposure) If your test is positive, you must isolate at home and contact the RISE Office for guidance.
No
Have you had a fever or felt feverish in the last 72 hours?
*
Yes
No
Have you had a new onset of diarrhea or vomiting In the last 72 hours?
*
Yes
No
Are you experiencing any respiratory symptoms including a runny nose, sore throat, cough or shortness of breath?
*
Yes
No
Are you experiencing any new muscle aches or chills?
*
Yes
No
Have you experienced any new change in your sense of taste or smell?
*
Yes
No
Have you traveled in the past 10 days internationally (outside of the U.S.) or on a cruise ship?
*
Yes
No
Alert
ALERT
You are NOT cleared to come to campus today. Please contact the RISE Office for guidance.