AYLA Health Check-In for 05/02/21
WELCOME! Please answer the following questions about your health today
Email *
STUDENT Name (first & last) *
PARENT Name (first & last)
PARENT email
PARENT phone number
Are you experiencing any of the following symptoms. Check NO SYMPTOMS if none apply. *
Required
Do you have any other COVID -19 symptoms, positive test results or potential exposure to COVID? *
Have you travelled outside the STATE in the last 14 days? *
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