Mount St. Mary’s University is making every effort to mitigate potential risks and promote the safety of our community during this pandemic. We ask your cooperation by completing this short questionnaire.
This information will be disclosed and used solely for the purposes of determining your safety and the safety of others during the COVID-19 pandemic.
Please ensure at all times that you are following protocols for hand hygiene and physical distancing and also remember to clean your keys, phone, computers and other personal items frequently.
The questionnaire intends to identify NEW symptoms or worsening of symptoms that could be related to this pandemic. Symptoms related to pre-existing conditions or allergies are excluded from this questionnaire.
1.Do you have any of the following symptoms which are new or have worsened:
2. Did you have close contact with someone who has a probable or confirmed case of COVID-19?
3. Did you have close contact with a person who had acute respiratory illness that started within 14 days of their close contact with someone who has a probable or confirmed case of COVID-19?
4. Have you tested positive for COVID-19 in the past 14 days?
5. Have you returned to the U.S. from outside the country in the past 14 days?
If you answer “YES” to any of the above, you will not be permitted to proceed at this time and you must self-quarantine. If you answer “NO” to all of the above, you can proceed.
Information on submitting the Daily Health Survey will be available shortly.
Daily. All students and employees are required to submit the health survey and check their temperature every day that they are on campus or plan to be on campus.
Yes. If you would, under normal circumstances, be expected on campus (work, classes, etc.) you need to submit the form. The survey allows you to note you do not plan to be on campus today.
No. If you are able to answer ‘no’ to all questions, you may proceed.
Close contact means someone was closer than 6 feet for more than 15 minutes from an individual who is positive for COVID-19. It does not matter if the individuals were wearing face coverings.
If you answer "yes" to any of the questions on the daily health survey, you are not permitted to come to campus or move around on campus at this time. For resident students, please contact your RA for additional guidance and the Health Center should contact you to assess your condition. For undergraduate commuter students, please contact the Dean of Students.
Students should go to your room (residence hall or home), and contact the Health Center.
Contact the Dean of Students Office to inform them of your error. Only the Dean’s Office can override the error.
Students should be referred to the Mount’s Health Center.
Yes, in order to assist with the public health collection of information about those who are sick with, exposed to or test positive for COVID-19, the U.S. Department of Health and Human Services issued a bulletin describing greater flexibility in the HIPAA law.
Mount St. Mary’s University is not a healthcare entity and as such is released from the regulations tied to HIPAA. We are, however, responsible for handling any COVID-19 related health information about our employees and students in a confidential manner. This means that though we can call any of your close contacts, IF you happen to test positive for COVID-19, to tell them they’ve been exposed to you, we CANNOT describe your health/symptoms, etc. We can also inform the Mount community that one of our employees or students is positive for COVID-19, but we can’t divulge the individual’s name.
Data collected will only be stored for the duration of the global pandemic. The University’s Dean of Students will be able to see the following information for those individuals who report to them: Name and whether a student completed the survey and is able to access campus that day. They will not have access to the individual’s answers to each question on the survey.