Your Daily Health Questionnaire and Illness Reporting Form Has Been Submitted

Thank you for completing this questionnaire.

If you are a CU employee, your supervisor will receive a notification that you have submitted the form. Your supervisor may also receive additional details if Medical Services staff have any concerns. Rest assured, all personal information will remain confidential. For more information about the privacy of your information, please review CU Boulder's Privacy Statement and Notice of Privacy Practices. If you have questions or need to speak with someone in Medical Services directly, please email buffinfo@colorado.edu.

Once again, thank you. By submitting your daily health questionnaires, you are supporting public health efforts on the CU Boulder campus and improving the health and safety for all members of our community.