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Daily COVID Screen SJS 2020
Please complete this or a paper form for each child, each day until further notice. Thank you for your cooperation. It saves time at the door.
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Email
*
Your email
Please answer yes or no to the following questions, if you answer yes to one of these questions, please keep your child home.
*
Yes
N0
Has your child been in close contact with anyone who has tested positive for COVID-19 or was diagnosed with COVID-19 in the last 14 days?
Has your child developed a cough in the last 24 hours?
Has your child had a shortness of breath/trouble breathing in the last 24 hours?
Has your child developed a new loss or sense of taste or smell in the last 24 hours?
Has your child taken medication in the last 24 hours to lower temperature (Tylenol or ibuprofen)?
Yes
N0
Has your child been in close contact with anyone who has tested positive for COVID-19 or was diagnosed with COVID-19 in the last 14 days?
Has your child developed a cough in the last 24 hours?
Has your child had a shortness of breath/trouble breathing in the last 24 hours?
Has your child developed a new loss or sense of taste or smell in the last 24 hours?
Has your child taken medication in the last 24 hours to lower temperature (Tylenol or ibuprofen)?
Has your child developed any of the following symptoms within the last 24 hours? If your child as exhibited 2 of these, please keep them home. *Vomiting, diarrhea, and fever-alone or together-should exclude a child from school.
*
Yes
No
Sore throat
Unusual fatigue
Nausea (sick to stomach or vomiting)*
Runny nose or nasal congestion
Headache
Muscle or body aches
Fever 100.4 or above, or chills (would indicate fever)*
Diarrhea*
Yes
No
Sore throat
Unusual fatigue
Nausea (sick to stomach or vomiting)*
Runny nose or nasal congestion
Headache
Muscle or body aches
Fever 100.4 or above, or chills (would indicate fever)*
Diarrhea*
Student's name
*
Your answer
Parent initials and date
*
Your answer
A copy of your responses will be emailed to the address you provided.
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