COVID-19 Visitor Symptom Tracking Form

Welcome to Michigan Tech's Visitor Symptom Tracking Form. Prior to visiting campus you should fill out this form with your contact information and current symptoms. If your symptoms do not meet CDC guidance for warning signs of COVID-19, you will be provided with a confirmation code that you will be asked for when you visit campus.

If you have a question regarding the symptom monitoring portal or a COVID-19 related questions, please contact or call Heidi Reid at 487-2229.

According to the CDC, people with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness. People with the symptoms listed below may have COVID-19. Please mark all symptoms that you have experienced in the last 24 hours that are not attributable to a known condition other than COVID-19:*
In the last 14 days, have you been in close contact (closer than 6 feet for 15 or more cumulative minutes within a 24 hour period) with someone you know or suspect to be infected with COVID-19?*
Did this person test positive for COVID-19?*