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For the safety of our students please fill out the questionnaire below.
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 1.   What is your last name?  
2.  What is your first name?
3.  Do you have any of these symptoms that are not caused by another condition?  Fever or chills, Cough, Shortness of breath or difficulty breathing, Fatigue, Muscle or body aches, Headache, Recent loss of taste or smell, Sore throat, Congestion, Nausea or vomiting, Diarrhea
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4.  Within the past 14 days, have you been in close contact with anyone that you know had COVID-19 or COVID-like symptoms?  Close contact is being within 6 feet for 15 minutes or more over a 24-hour period with a person, or having direct contact with fluids from a person with COVID-19 with or without wearing a mask (ie., being coughed or sneezed on)?
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5.  Have you had a positive COVID-19 test for active virus in the past 10 days, or are you awaiting results of a COVID-19 test?
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6.  Within the past 14 Days, has a public health or medical professional told you to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19 infections?
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