NDHS Daily Health Check

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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... *

A Notre Dame Student

A Notre Dame Staff/Faculty Member

A Parent Volunteer or Visitor

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.) *

Yes

Have you tested positive for COVID-19 in the past 14 days? *

Yes

Have you been in close contact with a person who has or is suspected of having COVID-19 in the past 14 days? *

Yes

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