COVID-19 Questionnaire
Please answer the following questions within 24 hours prior to each class time. If you answer "yes" to any of the questions or if you have any related COVID-19 indicators, please stay home.
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Parent Name *
Student Name(s) *
Have you traveled internationally in the last 14 days? *
Have you or your child been in close contact with another person who has been diagnosed with or under investigation for COVID-19? *
In the last 48 hours, have you or your child had any of the following: A sore throat, cough, fever or chills, shortness of breath, muscle or body aches, difficulty breathing, headache, new loss of taste or smell, congestion, or runny nose? *
If you answered yes to any of the above, please explain.
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