1B - Daily Health Check
For the health and safety of the entire school community, please fill out this form every morning before taking your child to school. If it is incomplete, you will have to complete a survey before dropping off your child at school.
Please enter your Child's Name.
Please enter your child's temperature. If it is above 100 degrees Fahrenheit, please keep your child home.
Is your child experiencing any symptoms associated with Covid-19? Please select all that apply:
Shortness of Breath or Difficulty Breathing
Muscle or Body Aches
Loss of Taste or Smell
Congestion or Runny Nose
Nausea or Vomiting
If you selected "Other" in the question above, please list the symptom below:
Have you or your child been in close contact with a person who is under investigation or confirmed to have COVID-19?
If you selected "Yes" to the question above, is that person in isolation away from you and your child?
Please list your initials to confirm that the responses above are accurate.
To return to Student Daily Health Check-In Website, click the link below:
Send me a copy of my responses.
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This form was created inside of St. Anthony School.