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CASD Screening Tool
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Student First Name
*
Your answer
Student Last Name
*
Your answer
School Building
*
Corry Area Primary School
Corry Area Intermediate School
Corry Area Middle School
Corry Area High School
Today I am feeling?
*
I am NOT feeling well
If your child is not feeling well, do they have any of the following symptoms?
*
Fever or Chills
Cough
Shortness of Breath or Difficulty Breathing
Fatigue
Muscle or Body Aches
Headache
New Loss of Taste or Smell
Sore Throat
Congestion or Runny Nose
Nausea, Vomiting, or Diarrhea
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