St. John School Health Screen- Last Day Report

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COVID-19 Daily Screen

Last/First Name *

Are you or your child experiencing any Covid-19 symptoms: cough, chills, shortness of breath, fever of 100.4 or above, sore throat, loss of smell/taste, muscle aches, nausea/vomiting/diarrhea, unusual fatigue, congestion/running nose-not related to seasonal allergies? *

Yes

Have you or your child been in close contact with anyone suspected or confirmed to have COVID-19? Close contact means being within 6 feet (2 meters) of an infected person for 15 minutes or more. Use of cloth masks or face shields by the person with COVID-19 or the close contact does not change this definition. *

Yes

3. Have you had a positive COVID-19 test for active virus in the past 10 days? *

Yes

4. Within the past 14 days, has a public health or medical professional told you to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19? *

Yes

5. Has your child recently traveled out-of-state or country? *

Yes

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