Are you experiencing any of the following symptoms today? *
Fever of 100.4 or greater in the past 14 days, Cough, Shortness of Breath, Chills, Sore Throat, Body Aches, Loss of taste or Smell, Diarrhea, Nausea, Vomiting, Headaches, Congestion.
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Vandalia CUSD 203. Report Abuse