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Updated Health Screening Form, February 2021
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* Indicates required question
Email
*
Your email
Do you have any of the following symptoms?
*
Fever of 100 degrees or higher
Cough
Shortness of Breath
Chills
Muscle Ache
Headache
Sore Throat
Vomiting/Diarrhea
New loss of taste or smell
NONE
Required
If you are experiencing any of the above symptom(s), for how long?
*
1 to 2 days
2 to 5 days
6 to 10 days
NONE
Have you
*
You must NOT board transportation or enter the school building if YOU have any of the following:
been in close contact (within 6 feet for 15 minutes) with anyone confirmed to have COVID-19 in the past 14 days
a positive COVID-19 test in the past 10 days
NONE
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