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Reasonable Steps Health Log
These steps must be completed and submitted prior to coming into contact with students each day:
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* Indicates required question
Email
*
Your email
Name (First & Last)
*
Your answer
Reason for being on campus?
*
Volunteer
Coach
Visitor
Other:
Required
Today's Date
*
MM
/
DD
/
YYYY
I will check in with administrator or designee.
*
Yes
Do you have a temperature higher than 99.9 degrees Fahrenheit.
*
Yes
No
Required
Employee/Volunteer/Visitor must answer NO to the following questions:
Have you had a fever within the last 48 hours?
*
Yes
No
Do you have a cough?
*
Yes
No
Do you have a sore throat?
*
Yes
No
Are you having shortness of breath?
*
Yes
No
Have you been in close contact with anyone with COVID-19 in the last 72 hours?
*
Yes
No
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