Melbourne School District Health Screening Tool
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Name: *
Fever of 100.4? *
Cough/Shortness of Breath/Other COVID-19 Symptoms? *
Pneumonia - recent *
Have returned from overseas travel or from states/metropolitan areas considered hot spots for COVID-19 spread in the last 14 days? *
Have you had contact with anyone who has NovelCoronavirus (COVID-19) within the last 14 days? *
Temperature *
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