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Health Screening
Please answer the following questions prior to entering the school building.
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* Indicates required question
Adult Cell Phone Number
*
Your answer
Full Name- person entering the building
*
Your answer
Do you have any of the following symptoms? Indicate by checking the box.
*
Temperature higher than 100.4
Cough
Shortness of breath
Muscle aches or pains
New loss of taste or smell
Sore throat
Vomiting or diarrhea
None of the above
Required
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