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Return to School COVID-19 January 2022
This questionnaire must be completed by all parents at least 3 days in advance of returning to school. If the answer is Yes to any of the below questions, you are advised to seek medical advice before returning to school. Please note: The school is collecting this sensitive personal data for the purposes of maintaining safety within the workplace in light of the Covid-19 pandemic. The legal basis for collecting this data is based on vital public health interests and maintaining occupational health and will be held securely in line with our retention policy.
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* Indicates required question
Childs Name
*
Your answer
Parents Name
*
Your answer
Date
*
Your answer
Does your child have symptoms of cough, fever, high temperature, sore throat, runny nose, flu like symptoms, diarrhea, upset stomach, difficulty breathing, loss or change in their sense of smell or taste (out of sorts) now or in the past 48hours?
*
Yes
No
Has your child received a positive antigen test result in the last 7 days?
*
Yes
No
Has someone in your household received a positive antigen or PCR result in the past 7 days? If yes please contact
hscl@goodshepherd.ie
before your child returns.
*
Yes
No
I have read and discussed the school’s Code of Behaviour with my child. We understand it and my child will adhere to school rules and uphold the Code of Behaviour this year.
*
Yes
No
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