JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Comunicación de casos COVID-19
IES Severo Ochoa
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Nombre del alumno
*
Your answer
Grupo
*
Your answer
Nombre del padre/madre/guarda legal
*
Your answer
Teléfono de contacto
*
Your answer
¿Se trata de un caso sospechoso o confirmado?
*
Sospechoso
Confirmado
El afectado es
*
Alumno/a
Familiar (especificar en otro)
Other:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of IES Severo Ochoa.
Report Abuse
Forms
