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Please screen each day prior to coming to school
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Email
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Your email
Name (Last, First)
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Your answer
Main Campus
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Wortham Elementary
Wortham Junior High
Wortham High
Are you currently experiencing, or have experienced in the past 14 days, any of the following symptoms?
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Yes
No
Fever (100.4 or greater)
Cough
Shortness of Breath
Sore Throat
New loss of taste/smell
Chills
Muscle Aches
Nausea, Vomiting, Diarrhea
Yes
No
Fever (100.4 or greater)
Cough
Shortness of Breath
Sore Throat
New loss of taste/smell
Chills
Muscle Aches
Nausea, Vomiting, Diarrhea
In the past 14 days, have you been in close proximity to anyone who was experiencing any of the above symptoms?
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Yes
No
Not sure
In the past 14 days, have you been in close proximity to anyone who has tested positive for COVID-19?
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Yes
No
Not sure
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