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Dansville Schools COVID-19 Self-Screening
All employees and visitors must undergo a health screening before entry. Thank you for your cooperation and support in keeping the Aggie Family safe.
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* Indicates required question
First Name, Last Name (Enter Below)
*
Your answer
In the past 14 days, have you had close contact with an individual diagnosed with COVID-19?
*
Yes
No
If you answered “yes," you may not enter any district building and you should contact your healthcare provider for further direction.
In the past 24 hours, have you experienced:
New or worsening cough:
Yes
No
Clear selection
Shortness of breath or difficulty breathing:
*
Yes
No
New loss of taste of smell:
*
Yes
No
Fever (100.0 or higher):
*
Yes
No
Your Temperature (Enter Below)
*
Your answer
Or Two or More of the Following:
Chills:
*
Yes
No
Muscle Aches:
*
Yes
No
Sore Throat:
*
Yes
No
Diarrhea
*
Yes
No
Nausea or Vomiting
*
Yes
No
If you answered “yes” to one or more of the first four symptoms above, or “yes” to two or more of the last seven symptoms above, you may not enter any district building and you should contact your healthcare provider for further direction.
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