Get Tuberculosis (tb) Screening Questionnaire Printed Name: Cmu # Signature: Date Please Answer The

This guide will assist you in completing the Tuberculosis (TB) Screening Questionnaire accurately and efficiently. By following the steps outlined below, you will be able to provide the required information quickly and without confusion.

Follow the steps to complete the TB screening questionnaire.

1. Press the 'Get Form' button to obtain the questionnaire. This will allow you to access the form and effectively prepare to fill it out.
2. Enter your printed name in the designated field to ensure proper identification.
3. Fill in your Central Methodist University (CMU) number in the appropriate section to associate the form with your student record.
4. Sign the document in the 'Signature' field to confirm the accuracy of the information you provided.
5. Date the form in the designated area to indicate when you completed the questionnaire.
6. Answer the questions regarding your contact with individuals known or suspected of having active TB disease. Select 'Yes' or 'No' as applicable.
7. Indicate if you were born in a country with a high incidence of active TB disease by selecting 'Yes' or 'No'. If yes, remember to circle the relevant country from the provided list.
8. Respond to the questions about your visits to high-prevalence countries, residency in high-risk settings, work as a volunteer or healthcare worker, and membership in groups that may increase TB risk.
9. Review your answers to ensure accuracy and completeness before submitting the form.
10. Once all fields are filled out, save your changes, and consider downloading or printing a copy of the questionnaire for your records.

Complete your TB screening questionnaire online today to ensure your health and compliance with university requirements.