COVID-19 Daily Self Check

Protect the 'Necks Daily COVID-19 Self-Check

Guests/Visitors/Vendors

Monitoring one's health is an important precautionary measure in the fight against COVID-19. Western Illinois University has developed the accompanying COVID-19 Self-Check resource for individuals to monitor their symptoms before interacting with others. Regardless of vaccination status, it is encouraged that Western Illinois University students, employees, guests, visitors & vendors complete a self-check each day before you arrive on any campus property (even on weekends). Thank you for doing your part to protect the 'Necks.

WIU students, faculty and staff should not fill out the below form; complete the student/employee form here (log in if prompted).
















e.g. parent, visitor, vendor, etc. If a vendor or partner, please provide your company name





Answer YES or NO to each question. If you answer YES to any items: stay home and contact your medical provider.

  1. Do you have a fever of 100.4°F (Fahrenheit) or higher?
    (If you have not taken your temperature, please do so.)

  2. Do you have any of these symptoms as defined by the CDC that are not explained by a known chronic illness?
    • Chills
    • Cough
    • Shortness of breath or difficulty breathing
    • New loss of taste or smell
    • Fatigue
    • Muscle or body aches
    • Headache
    • Sore throat, congestion or runny nose
    • Nausea, vomiting or diarrhea

  3. Have you been in close contact with someone who has been diagnosed with COVID-19 in the last 14 days, or has been in isolation for COVID-19 within the last 14 days?

    What counts as close contact?

    • You were within 6 feet of someone who has COVID-19 for a total of 15 minutes or more
    • You provided care at home to someone who is sick with COVID-19
    • You had direct physical contact with the person (e.g. hugged or kissed them)
    • You shared eating or drinking utensils
    • They sneezed, coughed, or somehow got respiratory droplets on you

  4. Have you had a COVID-19 test prescribed by a medical professional because you have recently had symptoms and you are currently waiting for the results?

  5. Have you been asked by a medical professional or public health official to isolate or quarantine for COVID-19 in the last 14 days?




Individuals with questions, comments, or constructive feedback can email covid-19@wiu.edu. In addition, a comments/concerns form has been established for easy submission.