Morning Screening

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Morning Screening

Please complete the form below every morning before school by 7 am for every child. If your child(ren) answers yes to any of the questions below, please keep them and their siblings at home and call the office at 314-961-2891. If you do not complete this form every morning before school, your child(ren) will be kept out of class until the form is complete. Thank you for your help in keeping Mary Queen of Peace School safe!

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Child's LAST Name *

Child's FIRST Name *

Grade *

Pre K 3

Pre K 4

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Sixth Grade

Seventh Grade

Eighth Grade

Are you or any member of your household being tested for COVID-19 or awaiting COVID-19 test results? *

Yes

A new cough *

Yes

Shortness of breath or difficulty breathing *

Yes

Fatigue *

Yes

Muscle or body aches *

Yes

Headache *

Yes

New loss of taste or smell *

Yes

Sore throat *

Yes

Congestion or runny nose *

Yes

Nausea or vomiting *

Yes

Diarrhea *

Yes

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