Gymtastiks - Daily Screening Form
Sign in to Google to save your progress. Learn more
Email *
Name of child attending class *
Date of class attending *
Do you, or your child attending today, have any of the following symptoms? *
Have you or anyone in your household traveled to a province or territory outside of Saskatchewan in the past 14 days? *
Have you, or anyone in your household, in the past 14 days travelled to a community in Saskatchewan with a COVID-19 outbreak? *
Have you, or anyone in your household been in direct unprotected contact in the last 14 days with someone who is being investigated or confirmed to be a case of COVID-19? *
Have you, or anyone in your household travelled internationally and/or been instructed to self-isolate for any other reason? *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy