LBUSD COVID-19 Daily Health Screening Form/Formulario del LBUSD para la Revisión Diaria de Síntomas de COVID-19
Thank you for participating in the daily health screen. It is important that you do not come to work/school If you have had symptoms consistent with COVID-19, have been exposed to someone with COVID-19, are awaiting results from testing, or have tested positive for COVID-19. Please answer the questions below honestly as we work together to slow the spread of COVID-19 in our community.

Upon completion of this form an email will be sent to you. Please present the results of this email upon entering your work/school site.

Gracias por participar en la revisión diaria de síntomas. Es importante que no se presente al trabajo o la escuela si ha tenido síntomas consistentes con el COVID-19, ha sido expuesto a alguien con el COVID-19, está esperando los resultados de la prueba, o ha dado positivo por COVID-19. Por favor, responda honestamente a las preguntas a continuación mientras trabajamos juntos para reducir la propagación de COVID-19 en nuestra comunidad.

Una vez llenado este formulario, se le enviará un correo electrónico. Por favor, presente los resultados de este correo electrónico al ingresar a su lugar de trabajo/plantel escolar.
Email address *
Full Name/Nombre Completo *
I am a/Soy *
Next
Never submit passwords through Google Forms.
This form was created inside of Long Beach Unified School District. Report Abuse