Weekly Student Health Screening (January 22'-June 22')
Parents and Guardians of NWCSD,

The NWCSD will periodically use a health screening questionnaire for students. This weekly electronic survey should be completed by parents or guardians.  We ask that you please read the following statements and affirm them by completing this survey.  The design of the survey is to serve as a mitigation strategy to allow us to remain fully open for comprehensive educational services 5 days per week (K-12).  
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Student Last Name: *
Student First Name: *
Student Building: *
Your Name *
Your Relationship to Child / Student *
Q1: Has your child knowingly been in close or proximate contact (in the past 5 days) with anyone who tested positive through a diagnostic test for COVID-19 or who has or had symptoms of COVID-19? *
Q2: Has your child tested positive through a diagnostic test for COVID-19 in the past 5 days? *
Q3: Has your child experienced any symptoms of COVID-19; including a temperature of greater than 100.4°F, in the past 3 days? *
Has your child exhibited any of the symptoms below or answered YES to any of the above questions, you must communicate such information to your child's building nurse, consult with a medical provider, and stay home.  (fever, chills, shortness of breath, sore throat, loss of taste or smell, headache, loss of appetite, nasal congestion, runny nose, nausea, vomiting or diarrhea or muscle and body aches)
Do you consent to periodic testing of your child for COVID-19 using either the Niagara County (LSL) or Niagara Wheatfield Central School District (LSL)? (This will only be done as a mitigation strategy to contain spread of the virus) *
Is your child currently vaccinated  if age (5-17)? *
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