Cherokee Student Daily Health Assessment
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Email *
Student's First Name *
Student's Last Name *
Grade level *
Dear Connetquot Parent/Legal Guardian:
The New York State Department of Health requires that the District implement a mandatory health screening questionnaire to assist in the efforts of preventing the transmittal of COVID-19 before a student attends school each day.  To that end, prior to the start of each day, parents will be required to perform self-administered temperature checks and the Health Screening Assessment Questionnaire below.  
1. To the best of your knowledge, in the past 10 days, have you been in close contact (within 6 feet for at least 10 minutes over a 24 hour period) with anyone who is currently diagnosed with COVID-19 or who has been told they have symptoms of COVID-19? *
25 points
2. In the past 10 days, have you gotten a lab-confirmed positive result from a COVID-19 diagnostic test (not a blood test) that was your first positive result OR was AFTER 90 days from your previous diagnosis date? Please note that 10 days is measured from the day you were tested, not from the day when you got the test result. *
25 points
3. Have you experienced any symptoms of COVID-19, including a fever of 100.0 degrees F or greater, a new cough, new loss of taste or smell or shortness of breath that started in the past 10 days? *
25 points
Should you report positively to any of the above criteria, you will not be permitted access to school and will be referred to your private healthcare provider for assessment and testing.
Yours truly,
Gail E. Santo
Director of Pupil Personnel Services

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