SUHSD COVID-19 Daily Screening Questionnaire
The COVID-19 questionnaire must be completed each day. Remember to complete it the morning of the days you attend school.

Last revision 09.01.2020
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Email *
Choose the school you would like to be cleared to enter today: *
Do you currently have, or in the last 72 hours have you had, a fever of at least 100.4 degrees? *
In the past 2 weeks (14 days) have you or anyone that you have had contact with received a positive result for a COVID-19 diagnostic test or are you or anyone in your household awaiting a COVID test result (other than for the purpose of essential worker surveillance testing)? *
In the past 72 have you experienced any of the following?: *
Abnormal, other than due to a known condition, cough, shortness of breath or difficulty breathing or at least two of these symptoms: 1. chills; 2. diarrhea; 3. fever; 4. headache; 5. muscle pain; 6. nausea or vomiting; 7. new loss of taste or smell; 8. repeated shaking with chills; 9. sore throat
In the past 72 hours have you HAD CONTACT with anyone experiencing any of the following?: *
Abnormal, other than due to a known condition, cough, shortness of breath or difficulty breathing or at least two of these symptoms: 1. chills; 2. diarrhea; 3. fever; 4. headache; 5. muscle pain; 6. nausea or vomiting; 7. new loss of taste or smell; 8. repeated shaking with chills; 9. sore throat
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