| COVID-19 Mandated Screening Questionnaire for
Visitors
Per guidance from the Governor's Office regarding Phase 4 - re-openings, mandatory daily health screenings are required to be completed DAILY by any employee, vendor or visitor entering a school facility. Please complete the following survey. If your response is "yes" to ANY of the below questions, DO NOT ENTER THE BUILDING until further notice, answers will be reviewed by the school nurse and district administration daily in order to ensure full compliance with the Governor's regulations.
*All fields are required
| | | | | | | Have you experienced any of the following symptoms in the past 48 hours: Fever or chills, Loss of taste or smell, Shortness of breath, Cough, Congestion or runny nose, Sore throat, Fatigue, Headache, Nausea or vomiting, Diarrhea, Muscle pain or body aches?
| If you answered 'yes' to the above question, check all the symptoms that apply: Cough,congestion or runny nose Muscle pain or body aches
|
|
|