NDHS Daily Health Check
All Students and NDHS Employees must conduct this health self-screen daily before entering school. PLEASE FILL OUT A SEPARATE FORM FOR EACH STUDENT.
NAME (First & Last)
You are... *
Students/Staff - What is your homeroom? (Staff, Faculty, Parent Volunteers or Visitors who do not have a homeroom, enter none.) *
Have you had any symptoms of COVID-19 in the past 14 days, including a temperature above 100 degrees F? (Symptoms include, but are not limited to, cough, shortness of breath or difficulty breathing, fever, chills, muscle pain, sore throat, or new loss of taste or smell.) *
Have you tested positive for COVID-19 in the past 14 days? *
Have you been in close contact with a person who has or is suspected of having COVID-19 in the past 14 days? *
Have you traveled internationally or from a state with widespread community transmission of COVID-19 per NYS Travel Advisory in the last 14 days? (See https://coronavirus.health.ny.gov/covid-19-travel-advisory for list of states.) *
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