ECA/CEC Daily COVID-19 Questionnaire
Please fill out BEFORE you report to school. You only need to do it if you are physically in the building that day.
Please take your temperature and record the number below.
In the past 24 hours, have you experienced any NEW or UNEXPECTED symptoms such as: fever, chills, sweating; frequent dry cough; shortness of breath, difficulty breathing; fatigue; muscle or body aches and pains; sore throat, runny nose, congestion; diarrhea, vomiting; headaches; loss of taste or smell.
Have you or anyone in your household recently been in close contact with anyone who has exhibited any symptoms?
Have you or anyone in your household recently been in contact with anyone who has tested positive for COVID-19?
If your answer to any of the above questions is "YES", DO NOT report to school. Contact Pat or Rebekah immediately. It is highly recommended that you consult with a medical professional or call the COVID Hotline @ 1-855-600-3453.
Send me a copy of my responses.
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This form was created inside of Albuquerque Public Schools.