COVID-19 Questionnaire
If your child has any of the symptoms listed below, which might indicate a possible illness, that may decrease his or her ability to learn and puts them at risk for spreading illness to others, please indicate by answering the following  with a yes or no answer.  Also, if your child has been out of the country in the past 14 hours or have been in close contact or care for someone with COVID-19 please answer with a yes or no.
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Name of the Student/Individual *
Have you had a fever of 100.0 Fahrenheit or higher in the last 24 hours, loss of taste or smell, unexplainable cough, congestion or runny nose, shortness of breath,  sore throat,  diarrhea, nausea or vomiting, muscle pain or ache, chills or  new onset of a headache?  If you have chronic allergic/asthmatic cough, does your cough have a change from baseline? *
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