TEANECK PUBLIC SCHOOLS - COVID-19 Staff Screening Questionnaire
Kindly complete the following questionnaire daily prior to entering any Teaneck Public School Building. If you answer "Yes" to any of the following questions, please contact both the School Nurse on duty and your Direct Supervisor, immediately.

The phone number to the School Nurse at THS is 201-833-5420. The phone number to the School Nurse at Bryant is 201-833-5549. 
Name *
Title *
*
Required
Department/School *
Are you experiencing any of the following symptoms? *
Yes
No
Fever of 100.4°F or above
Cough or shortness of breath
Sore Throat
Chills
Muscle aches or rigors (body aches)
Headache
New loss of taste or smell
Abdominal pain, nausea, vomiting or diarrhea
Have you tested positive for COVID-19 in the past 14 days? *
To the best of your knowledge have you knowingly been in close or proximate contact in the past 14 days with anyone who has tested positive for COVID-19 or who has had symptoms of COVID-19 or if you have traveled to any of the states listed in New Jersey's Travel Advisory List or any international destinations where travel is limited by government orders. *
Certify *
Required
Submit
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