GCISD Swim/Dive Daily COVID Screening

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Today's Date *

Full Name *

School *

GHS

CHHS

Parent Phone Number: *

Have you been in close contact with anyone diagnosed with Coronavirus in the past 14 days? *

Close contact: being within approximately 6 feet (2 meters) of a person with COVID-19 for a prolonged period of time (such as caring for or visiting the patient; or sitting within 6 feet of the patient in a healthcare waiting area or room); having unprotected direct contact with infectious secretions or excretions (e.g. being coughed on, touching used tissues with a bare hand)-sharing a household with a person with any symptoms in this medical screening.

YES

Have you experienced any of these symptoms in the past 14 days? *

Fever (temperature at or above 100F), cough, shortness of breath or difficulty of breathing, chills, repeated shaking with chills, muscle pain, loss of taste or smell, sore throat, diarrhea

YES

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