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MGC Parent Questionnaire
Parents, please take a few minutes to respond to each question listed below. All information will remain confidential.
Thank you,
MGC COVID Team
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Email
*
Your email
Please list name and grade level of all MGC students in your household.
*
Your answer
Has anyone in your household been exposed to COVID or tested positive for COVID in the past 14 days?
*
Yes
No
If YES, please list the member(s) and dates of exposure and positive test below
Other:
Please list the names of all MGC students in your household who have been vaccinated against COVID. Please indicated if your child(ren) have received both dosages or just one of the dosages.
*
Your answer
Do you need more information or resources on vaccines, boosters, and/or clinic and testing locations?
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Yes
No
Would you take advantage of a vaccine clinic at MGC to receive the vaccine or booster?
*
Yes
No
Maybe
MGC is still requiring students to be masked at all times unless they are actively eating or drinking. Are you able to supply your child(ren) with one or more clean masks (cloth or disposable) each day?
*
Yes
No
Other:
If you are registered for ECP, would your family be using ECP for this week?
Yes
No
If yes, please let us know the days and times and students who will attend:
Other:
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Do you have a working thermometer in your home?
*
Yes
No
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