Childress ISD Staff COVID Screening - Cafeteria Staff
Complete this form daily before entering the building.
Please enter your first and last name.
Have you observed two or more of the following symptoms in the past 24 hours?
Temperature of 100.0°F or higher when taken by mouth
New uncontrolled cough that causes difficulty breathing (or, for students with a chronic allergic/asthmatic cough, a change in their cough from baseline)
Loss of taste or smell
New onset of severe headache, especially with a fever
I have NOT experienced two or more of the above symptoms in the past 24 hours.
Have you been in close contact with a person who is lab-confirmed to have COVID-19 in the past 72 hours?
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This form was created inside of Childress Independent School District.