GCS Daily COVID-19 Symptom Checker

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The safety, health, and well-being of our students, families, and staff is our top priority. Parents must fill out the daily symptom checker prior dropping their child off for preschool. This screening form will also be used to notify the preschool in the event of an absence.

Email *

Student Name *

Today's Date *

YYYY

Will your child be attending preschool today? *

Yes

Reason for absence

Is your child experiencing any of the following symptoms? *

Fever (100.4 F or higher) in the past 24 hours

Cough

Shortness of breath

Sore throat

Muscle aches (myalgia) that are not attributed to another condition or activity

Loss of sense of taste or smell

Fatigue

Nausea or vomiting

Diarrhea

Congestion or runny nose that is not attributed to another condition

None of the above

Required

Please select all statements that apply or select none of the above. *

My family has been informed by a health care professional or public health authority to self-isolate or self-quarantine for a period of time that has not yet expired.

My family has been exposed to someone that is sick or diagnosed with COVID-19 in the past 14 days.

None of the above.

Required

I acknowledge that I have answered these questions to the best of my ability. I understand that if my child shows signs or symptoms of potential illness or has a fever, my child will be required to be picked up from preschool immediately and may not participate in preschool activities. Type in your name as your signature. *

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