JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Central Middle School Daily Home Screening for Students
This form must be completed daily.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Select the Date
*
MM
/
DD
/
YYYY
Student name
*
Your answer
Parent filling out this form
*
Your answer
Grade Level
*
Your answer
Homeroom teacher
*
Your answer
Does your child have a temperature of 100.4°F or higher when taken by mouth or forehead?
*
yes
no
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of St. Landry Parish School Board.
Report Abuse
Forms
