Section 1 of 1
FH56-02 Weekly Health Survey
9/21/2020
09/21/2020
09/21/2020
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Mae Cummings
Mae Cummings
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Are you currently experiencing a fever (100.4 or higher) or have a sense of a fever?:
Are you currently experiencing a fever (100.4 or higher) or have a sense of a fever?:
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Do you have a new cough that cannot be attributed to another health condition?:
Do you have a new cough that cannot be attributed to another health condition?:
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Do you have shortness of breath that cannot be attributed to another health condition?:
Do you have shortness of breath that cannot be attributed to another health condition?:
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Do you have new chills that cannot be attributed to another health condition?
Do you have new chills that cannot be attributed to another health condition?
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Do you have a new sore throat that cannot be attributed to another health condition? *
Do you have a new sore throat that cannot be attributed to another health condition? *
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To the best of your knowledge, have you or someone in your household or close proximity been exposed to Covid-19 in the past 14 days? *
To the best of your knowledge, have you or someone in your household or close proximity been exposed to Covid-19 in the past 14 days? *
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I will be at practice/the game tomorrow
I will be at practice/the game tomorrow
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