Winkley Student Screener Health Self-Screening & Checklist
Students MUST self-screen for COVID-19 symptoms DAILY BEFORE they come to campus.

PARENTS will be REQUIRED to submit the completed form for EACH child and submit it before coming to campus or boarding the bus.

If they should have any of the below symptoms they should NOT come to school that day.  
 

CHECKLIST UPDATED September 1st, 2020
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Email *
Student LAST Name *
Student FIRST Name *
Student's Grade Level *
Homeroom Teacher's LAST Name *
Indicate "Yes" if you are experiencing any of these symptoms that are not normal for you or check "No" if you are NOT experiencing the following symptoms.                                                                                                                                                                                                   -Feeling feverish or a measured temperature greater than or equal to 100.0 degrees Fahrenheit                       -Loss of taste or smell                                                             -Cough                                                                                         -Difficulty breathing                                                                 -Shortness of breath                                                                -Fatigue                                                                                        -Headache                                                                                  -Chills                                                                                            -Sore throat                                                                                           -Congestion or runny nose                                                    -Shaking or exaggerated shivering                                      -Significant muscle pain or ache                                          -Diarrhea                                                                                     -Nausea or vomiting                                                                                                                    If you answer "yes," you cannot enter the school building. *
Required
By typing your name below, you are signing, you attest that you confidently answered “no” to all symptoms listed above and have a very low risk of carrying or spreading COVID-19. *
A copy of your responses will be emailed to the address you provided.
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