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Visitors and Contractors Self-Screening Checklist

WVU Hosts: Please have visitors and contractors complete the pre-screening checklist online at .

  • The safety of West Virginia University’s campus community remains our top priority. As the COVID-19 pandemic continues to evolve and spread, WVU is monitoring the situation closely and will periodically update its policies and procedures based on current guidance from the Centers for Disease Control and Prevention (CDC), the World Health Organization and other federal, state and local agencies.
  • To help prevent the spread of COVID-19 and reduce the potential risk of exposure to our employees and visitors, we are conducting a simple screening questionnaire.
  • Your participation is important to help us take precautionary measures to protect you and other members of our campus community.
    • Visitor’s Name:

    • Visitor’s Company/Organization:

    • Facility Name:

    • If the answer is yes to one or more of the following questions, access will be denied.

      • Have you had close contact with or cared for anyone diagnosed with COVID-19 within the last 14 days?

      • Are you showing any signs of one or more of the following symptoms or have you been exposed to anyone displaying these symptoms?

        • Temperature of 100.4º F or higher

        • Cough

        • Shortness of breath

        • Difficulty breathing

        • Tiredness