BUILD Community School Daily Health Screening Form for COVID- 19
This screening tool is offered for informational purposes to help you check for COVID-19 symptoms as outlined by the Centers of Disease Control. Based on your self-reported answers, the tool will provide a response to be used by us. If you answered yes to any of the 7 questions below, please DO NOT enter the building.
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Please type your name and phone number below *
Please select today's date *
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Have you or a member of your household tested positive for a confirmed case of COVID-19 in the past 14 days? *
Are you experiencing any COVID-19 or flu-like symptoms? (fever, chills, cough, shortness of breath, difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea, vomiting, or diarrhea)? *
Are you or any member of your household under active quarantine due to COVID-19 exposure? *
Have you been in contact with anyone who has a confirmed case of, or has been exposed to COVID-19? *
Have you traveled outside the U.S within the past 14 days? *
Have you traveled to any of the states that require a 14 day quarantine? *
Temperature is/or exceeds 100 degrees Fahrenheit? *
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