COVID-19 Screening for Preschool Building
(based on guidance from the CDC as of Sept 14, 2020 and Illinois SBE as of October 23, 2020)
This screening tool is one of several measures UABC is taking to ensure a healthy setting for our students, employees, guests, and their families. Thank you for completing this questionnaire for the sake of others.
Name *
The questions below ask about your possible symptoms in the past 2 weeks OR since your last screening.
Fever > 100.4? *
New headache that is moderate or severe?
Clear selection
Shortness of breath or difficulty breathing? *
New/worsening cough or sore throat? (different than seasonal allergies) *
Vomiting, diarrhea, or nausea? *
Muscle/body aches or abdominal pain? *
New congestion or runny nose? *
New loss of smell or taste? *
Fatigue from unknown cause? *
Have you been diagnosed with COVID-19, OR are you waiting for COVID-19 test results? *
Have you been in close contact with someone who has tested positive for COVID-19, who is waiting for COVID-19 test results, or who is exhibiting COVID-19-like symptoms? *
If you answered YES or MAYBE to any of the above questions, please explain.
What was your most recent temperature reading? And, when was it taken? (If you do not have a thermometer, someone can take your temperature upon entering the building.)
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