2-2 Daily Health Check
Please complete this short check each morning and report your child’s information in the morning before your child leaves for school.

If the answer is YES to any question , please do not bring your child to school and contact your medical professional.
Email address *
Child's Name *
Is your child or a household member currently waiting for the results of a COVID-19 test? *
In the past 10 days has your child experienced any symptoms of COVID-19, including a fever, of 100.0 F or greater, new cough, loss of taste or smell, shortness of breath, sore throat, headache, nasal congestion, runny nose (sniffles) or stomach upset? *
In the past 10 days has your child gotten a lab confirmed positive COVID-19 test result (not a blood test) that was your first positive COVID-19 result OR was 90 days from a previous COVID-19 result? Please note the 10 days is measured from the day you were tested, not the day you received the results. *
To the best of your knowledge, in the past 10 days have you been in close contact (within 6 feet for at least 10 minutes over a 24 hour period) with anyone who has tested positive for COVID-19 or who has been told they have symptoms of COVID-19? *
In the past 10 days has your child or a household member returned from an international destination? *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Saint Luke School. Report Abuse