Return to School Staff Survey
1. Last Name, First Name *
2. Primary Building *
3. Are you planning on returning to work for the 2020-2021 school year? *
Comments
4. Are you planning on retiring before the start of the 2020-2021 school year? *
Comments
5. Do you have any risk factors or accommodations that the district needs to be aware of at this time? *
Comments
6. Are you able to wear a face mask all day? *
Comments
7. Will you require an N95 mask (with medical documentation)?
Clear selection
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8. Will you be using your own mask?
Clear selection
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9. Do you live with someone who has a compromised immune system or is at higher risk of suffering from COVID-19? *
Comments
10. Is there anything else you would like to share with the district at this time?
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