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BUSD Student Screening
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Email
*
Your email
Date
*
MM
/
DD
/
YYYY
Please enter your last name?
*
Your answer
Please enter your first name
*
Your answer
Have you had a fever of over 100.4, chills, new cough, shortness of breath, muscle or body aches, diarrhea or vomiting, new loss of taste or smell in the last 10 days?
*
10 points
Yes
No
Have you had contact with a person known to be infected with the Novel Coronavirus (COVID-19) within the last 14 days?
*
10 points
Yes
No
Student's Body Temperature
*
Your answer
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