Has your child experienced any symptoms of COVID-19 , including a fever of 100.0 F or greater, new cough, loss of taste or smell, shortness of breath, sore throat, headache, nasal congestion, runny nose (sniffles), stomach upset? *
No.
Yes, No further screening is needed. Your child may not attend school.
Please Check One
No.
Yes, No further screening is needed. Your child may not attend school.
Please Check One
Has anyone in your family experienced any symptoms of COVID-19 , including a fever of 100.0 F or greater, new cough, loss of taste or smell, shortness of breath, sore throat, headache, nasal congestion, runny nose (sniffles), stomach upset?
No. Go to the next questions.
Yes, No further screening is needed. Your child may not attend school.
Please Check One
No. Go to the next questions.
Yes, No further screening is needed. Your child may not attend school.
Please Check One
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If so, how many days since exposure?
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