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COVID-19 Questionnaire
Please answers these questions while seated!
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Email *
First & Last Name *
Child or Children's First & Last Name
Which Class Are You In? (if parent, please choose which class your child is in)
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1. Have you experienced any of the following symptoms in the last 14 days OR tested positive for COVID-19?(Please mark all symptoms that apply) *
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2. Have you been in contact with someone who has experienced any of the symptoms listed in question 1 in the last 14 days OR anyone who tested positive for COVID-19? *
3. Have you or someone have been in contact with a travelled state that has a significant spread of COVID-19 in the last 14 days? *
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